Radiofrequency Catheter Ablation for the Treatment of Common Atrial Flutter in Humans
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概要
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Endocardial catheter ablation has been recently been proposed for the treatment of arrhythmias originating in the right atrium. In this study, we used this technique in 5 patients with paroxysmal common atrial flutter and 3 patients with paroxysmal uncommon atrial flutter. Various antiarrhythmic agents had failed to prevent the recurrence of these episodes. In each procedure, we used a large-tip 7 F quadripolar catheter electrode that was introduced via the femoral vein into the lower part of the right atrium. The two distal electrodes were used to record double-spike potentials or fragmented electrograms. A unipolar electrogram recording from a distal electrode of the same catheter was also used to identify local activation. The targets for ablation were sites which showed double-spike potential and fragmented electrogram 40-60 msec earlier than the onset of the F wave. Application of radiofrequency(RF) energy (25-40 watts) (3-17 applications) terminated atrial flutter and prevented reinduction of atrial flutter in the 5 patients with common atrial flutter. However, atrial flutter could not be terminated with the application of RF energy in the 3 patients with uncommon atrial flutter. The sites at which ablation was successful were located inferior or posterior to the coronary sinus ostium between the inferior vena cava and the tricuspid valve annulus, and were characterized by double-spike potentials and fragmented electrograms with activation times ≥40 msec before the onset of the F wave. This area may represent the exit site from the area of slow conduction, since pacing from this site showed concealed entrainment of the F wave, and a local electrogram to the onset of the F wave coincided with the pacing spike to the onset of the F wave. Follow-up of these 5 patients (19.4±10.4 weeks) revealed recurrence of the original atrial flutter in 1 patient and a new type of atrial flutter in 1 patient. The other 3 patients have been episode-free, although an antiarrythmic agent was given for the treatment of paroxysmal atrial fibrillation in 2 patients. We conclude that the application of RF energy to the presumed critical area in the atrial flutter reentrant circuit seems to be effective in terminating and preventing common atrial flutter. Long-term follow-up is required for the recurrence of atrial flutter.
- 社団法人日本循環器学会の論文
- 1995-01-20
著者
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Saito Satoshi
The Second Deparyment of Internal Medicine Nihon University School of medicine
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Ozawa Yukio
The Second Deparyment of Internal Medicine Nihon University School of medicine
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Watanabe Ichiro
The second Department of Medicine, Nihon University Shool of Medicine
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Kasamaki Yuji
The Second Department of Medicine, Nihon University School of Medicine
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Kojima Toshiaki
The Second Department of Medicine, Nihon University School of Medicine
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Tokai Koichiro
Department Of Cardiology Nihon University School Of Medicine
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Ozawa Y
Department Of Cardiovascular Renal And Endocrine Medicines Research Center And Cardiovascular Functi
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Tokai Kohtaroh
Department Of Cardiology Nihon University School Of Medicine
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Kondo Kazuhiko
the Second Department of Medicine, Nihon University School of Medicine
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Kumimoto Satoshi
Department Of Cardiology Nihon University School Of Medicine
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Kunimoto Satoshi
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Kondo Kazuhiko
The Second Department Of Internal Medicine Nihon University School Of Medicine
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Kojima Toshiaki
Department Of Cardiology Nihon University School Of Medicine
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Takahashi Yoshikazu
The Second Department Of Internal Medicine Nihon University School Of Medicine.
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Kunimoto Satoshi
National Cardiovascular Center
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Yang Xinchun
The Second Department of Internal Medicine, Nihon University, School of Medicine
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Kanda Akihiro
The Second Department of Internal Medicine, Nihon University, School of Medicine
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Kunimoto Satoshi
The Second Department of Internal Medicine, Nihon University, School of Medicine
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Ozawa Yukio
The Second Department Of Internal Medicine Nihon University School Of Medicine
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Yang Xinchun
The Second Department Of Internal Medicine Nihon University School Of Medicine
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Kanda Akihiro
The Second Department Of Internal Medicine Nihon University School Of Medicine
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Tokai Kotaro
Department Of Cardiology Nihon University School Of Medicine
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Kamata Tomohiko
The 2nd Department Of Internal Medicine Nihon University School Of Medicine
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Saito Satoshi
The Second Department Of Internal Medicine Nihon University School Of Medicine
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Tokai Kohtaro
Department Of Cardiology Nihon University School Of Medicine
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Kojima Toshiaki
The Second Department of Internal Medicine, Nihon University School of Medicine
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KUNIMOTO Satoshi
The Second Department of Internal Medicine, Nihon University School of Medicine
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KASAMAKI Yuji
The Second Department of Internal Medicine, Nihon University School of Medicine
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