Key result
Radiofrequency catheter ablation represents an efficient strategy with a high success rate and few complications for the treatment of cavotricuspid isthmus-dependent atrial flutter.
Why the study?
Recent ultrahigh-resolution mapping systems have improved the understanding of cavotricuspid isthmus-dependent atrial flutters, prompting a review focused on clinical perspectives.
Radiofrequency catheter ablation is an efficient and highly successful treatment strategy for cavotricuspid isthmus-dependent atrial flutter.
May support ablation for typical flutter; leaves open need for randomized trials to guide practice.
The precise circuit of cavotricuspid isthmus (CTI)-dependent atrial flutters (AFLs) has been well characterized, but the recent arrival of ultrahigh-resolution mapping systems has further improved our understanding of this “old” arrhythmia. CTI-dependent AFL may be the arrhythmia for which the electrocardiograph (ECG) correlation with the mechanism may be the highest. Once the diagnosis is made (predominantly based upon the surface ECG), the therapeutic options are precisely defined, with radiofrequency catheter ablation representing an efficient strategy with a high success rate and few complications. This article will focus on the clinical perspectives for CTI-dependent AFL.
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Bun et al. (2019) conducted a review in Cavotricuspid isthmus-dependent atrial flutter. Radiofrequency catheter ablation was evaluated. Radiofrequency catheter ablation represents an efficient strategy with a high success rate and few complications for the treatment of cavotricuspid isthmus-dependent atrial flutter.
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