Key result
Intracardiac echocardiography and other advanced mapping tools facilitate radiofrequency ablation of the cavo-tricuspid isthmus for typical atrial flutter, particularly in difficult cases.
This review summarizes the clinical value of intracardiac echocardiography and other tools in facilitating radiofrequency ablation of the cavo-tricuspid isthmus for typical atrial flutter.
May support ICE and mapping in complex CTI ablation; leaves open need for prospective outcome trials.
Radiofrequency ablation (RFA) of the cavo-tricuspid isthmus (CTI) is one of the most frequently performed procedures in electrophysiology. Despite a high success rate, ablation of the CTI can be unusually difficult in some cases. Multiple tools like angiography, 3D mapping, remote navigation and intracardiac echocardiography (ICE) have been introduced to facilitate typical flutter ablation. This review article summarizes the clinical value of different strategies and tools used for CTI ablation focusing on the importance of approaches utilizing ICE.
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Gábor Bencsik (2014) conducted a review in Typical Atrial Flutter. Intracardiac echocardiography (ICE) and advanced mapping tools was evaluated. Intracardiac echocardiography and other advanced mapping tools facilitate radiofrequency ablation of the cavo-tricuspid isthmus for typical atrial flutter, particularly in difficult cases.
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