Detection of a unidirectional epicardial connection between the right-sided pulmonary venous carina and the right atrium by pacing from a high-density mapping catheter

被引：4
作者：
Umemoto, Shintaro [1 ]
Takemoto, Masao [1 ,2 ]
Koga, Tokushi [1 ]
Tsuchihashi, Takuya [1 ]
机构：
[1] Steel Mem Yawata Hosp, Cardiovasc Ctr, Kitakyushu, Japan
[2] CardiovascularCenter, Steel Mem Yawata Hosp, 1-1-1Haruno Machi,Yahatahigashi Ku, Kitakyushu 80585, Japan
来源：
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2023年 / 46卷 / 08期
关键词：
atrial fibrillation; case report; catheter ablation; epicardial connection; high-density mapping; unidirectional connection; VEIN; FIBRILLATION;
D O I：
10.1111/pace.14645
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of recurring, persistent atrial fibrillation (AF) in a patient with a unidirectional epicardial connection (EC) between the right-sided pulmonary venous (PV) carina and the right atrium detected using a high-density mapping catheter with a steerable introducer support, but not a conventional circular mapping catheter. This unidirectional EC could be steadily abolished by a radiofrequency delivery. Finally, we were able to successfully achieve complete PV antrum isolation. Thereafter, he has remained well without any AF.
引用
收藏
页码：928 / 933
页数：6
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