[Atrial flutter ablation: initial experience in a general hospital].

Ann Cardiol Angeiol (Paris)

Service de cardiologie, hôpital de Narbonne, boulevard Dr-Lacroix, 11100 Narbonne, France.

Published: November 2006

Background: Right atrial flutter has a relatively high incidence. It is often symptomatic and can have a poor outcome particularly in case of thrombo-embolic events.

Aim Of Study: We evaluate the results of radiofrequency catheter ablation for right atrial flutter since the introduction of this technique inour hospital.

Methods: The 28 first patients referred in our institution for atrial flutter and relevant for cavo-tricuspid isthmus ablation were enrolled. Ablation used a 8 mm tip electrode catheter and one or two conventional diagnostic catheters. The goal of ablation was complete bidirectional isthmus block.

Results: The first-line success rate was 96 percent with 4 percent early flutter recurrence. The mean duration of radiofrequency current applications was 652 +/- 409 seconds. No complication was observed.

Conclusion: This results are comparable with the published data and encourage the development of basic ablation procedures and maintenance of rhythmic competence in general hospital inside medical network.

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http://dx.doi.org/10.1016/j.ancard.2006.08.006DOI Listing

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