Ablation of atypical atrial flutter in a patient after radiotherapy for adenocarcinoma of the right lung using the Coherent CARTOPRIME™ module of the CARTO system

Paweł Wałek; Joanna Wiewióra; Monika Domagała; Maciej Młodnicki; Przemysław Dąbkowski; Rafał Stando; Beata Wożakowska−Kapłon

doi:10.5603/fc.95962

August 21, 2023Folia CardiologicaOpen Access

Ablation of atypical atrial flutter in a patient after radiotherapy for adenocarcinoma of the right lung using the Coherent CARTOPRIME™ module of the CARTO system

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Why the study?

It is not well understood how electrically silent areas that form the substrate for atypical atrial flutter occur in patients without prior atrial procedures or traditional risk factors.

Structured PICO

P

Population

1 65-year-old male with atypical atrial flutter, history of sequential chemo- and radiotherapy for right lung adenocarcinoma (cT1bN2M0), coronary heart disease (prior inferior MI, RCA PCI), HFmrEF, abdominal aortic aneurysm, peripheral arterial disease, nicotinism, hypertension, hyperlipidemia, hyperthyroidism, and bladder tumor resection.

I

Intervention

Radiofrequency catheter ablation using 3D CARTO electroanatomic system and Coherent CARTOPRIME module, targeting the critical isthmus on the roof of the left atrium and isolating right pulmonary veins.

O

Outcome

Termination of arrhythmia and restoration of sinus rhythm

Radiotherapy for lung cancer can create low-voltage zones in the left atrium that serve as a substrate for atypical atrial flutter, which can be successfully treated with radiofrequency catheter ablation.

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Implication

Radiotherapy-induced LA scar may trigger atypical AFl; this case leaves open whether advanced mapping improves ablation success in such patients.

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Cite This Study

Wałek et al. (2023) studied this question.

synapsesocial.com/papers/6a7262c98031ec7bb1dd5853 https://doi.org/10.5603/fc.95962

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Ablation of atypical atrial flutter in a patient after radiotherapy for adenocarcinoma of the right lung using the Coherent CARTOPRIME™ module of the CARTO system

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Ablation of atypical atrial flutter in a patient after radiotherapy for adenocarcinoma of the right lung using the Coherent CARTOPRIME™ module of the CARTO system

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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