Background: Electroanatomical mapping is an essential tool in the ablation of typical AFL.

Objectives: To identify the existence of voltage patterns in the CTI voltage maps and their relevance for typical AFL ablation.

Methods: A voltage map of the CTI was made prior to ablation, identifying the areas of maximum voltage and their location along the CTI, allowing classification into patterns according to their distribution. A stepwise ablation approach targeting the areas of maximum voltage was conducted. The ablation characteristics were compared based on the pattern obtained.

Results: Two voltage patterns were identified, with differences in ablation time to bidirectional CTI block. No complications occurred.

Conclusions: Voltage mapping identifies patterns in the CTI with implications for typical AFL ablation.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10848585PMC
http://dx.doi.org/10.1002/joa3.12982DOI Listing

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