Cited by 380Cardiac Arrhythmias and TreatmentsAtrial Fibrillation Management and OutcomesCardiac electrophysiology and arrhythmias

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Mapping and Ablation of Left Atrial Flutters

Jaïs, Pierre, Shah, Dipen C., Haïssaguerre, Michel, Hocini, Mélèze, Peng, Jing Tian, Takahashi, Atsushi, Garrigue, Stéphane, Le Métayer, Philippe, Clémenty, Jacques·2000·Circulation

DOI 10.1161/01.cir.101.25.2928

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Abstract

BACKGROUND: Typical right atrial isthmus-dependent flutters have been described in detail, but very little is known about left atrial (LA) flutters. METHODS AND RESULTS: We performed conventional and 3D mapping of the LA for 22 patients with atypical flutters. Complete maps in 17 patients demonstrated macroreentrant circuits (n=15) with 1 to 3 loops rotating around the mitral annulus, the pulmonary veins, and a zone of block or a silent area. In 2 patients, a small reentry circuit with a zone of markedly slow conduction was identified. Linear ablation performed across the most accessible part of the circuit cured 16 patients (73%) with a follow-up of 15+/-7 months. CONCLUSIONS: LA reentrant tachycardias are related to individually varying circuits and are amenable to mapping guided radiofrequency ablation.

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10.1161/circ.96.11.3904 · DOI
10.1161/circ.93.3.502 · DOI
10.1161/circ.98.9.835 · DOI
10.1161/circ.96.9.3157 · DOI
10.1161/circ.100.12.1354 · DOI

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Authors: Jaïs, P., Shah, D. C., Haïssaguerre, M., Hocini, M., Peng, J. T., Takahashi, A., Garrigue, S., Le Métayer, P., & Clémenty, J.
Affiliations: From the Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac, France.
Hôpital Cardiologique du Haut-Lévêque (FR)
ORCID: Shah, Dipen C.
Peng, Jing Tian
Takahashi, Atsushi
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2000-06-27
Volume: 101
Issue: 25
Pages: 2928-2934
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/01.cir.101.25.2928
OpenAlex: W2084961903
Cited by: 380
References: 13
Citations by year: 2026: 3 · 2025: 5 · 2024: 5 · 2023: 11 · 2022: 14 · 2021: 15 · 2020: 10 · 2019: 14 · 2018: 14 · 2017: 10 · 2016: 21 · 2015: 12 · 2014: 14 · 2013: 12 · 2012: 25
FWCI: 8.39
Type: journal article
Language: en
Open access: closed
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords: left atrial flutter, 3D electroanatomical mapping, radiofrequency catheter ablation, mitral annulus, pulmonary veins, slow conduction zone, linear ablation
MeSH terms: Adult, Aged, Atrial Flutter, Electrophysiology, Female, Follow-Up Studies, Heart Block, Humans, Male, Middle Aged, Neural Conduction, Atrial Function, Left, Radiosurgery, Treatment Outcome

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Mapping and Ablation of Left Atrial Flutters

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