What is behind radiofrequency delivery at the cavo-tricuspid isthmus?

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Bibliographic Details
Title: What is behind radiofrequency delivery at the cavo-tricuspid isthmus?
Alternate Title: ¿Qué sucede en el istmo cavo-tricuspídeo durante la ablación con radiofreuencia?
Authors: Filgueiras-Rama, David1, Arceluz, Martín1, Castrejón, Sergio1, Estrada, Alejandro1, Figueroa, Jorge1, Ortega-Molina, Marta1, Delgado, Reina1, Merino, José L.1 jlmerino@arritmias.net
Source: Archivos de Cardiología de México. ene-mar2014, Vol. 84 Issue 1, p51-52. 2p. 1 Black and White Photograph.
Subjects: RADIO frequency, HEART abnormalities, HEART conduction system, CATHETERS, EDEMA, ATRIAL flutter, PHYSIOLOGY
Abstract (English): Catheter-based ablation of isthmus-dependent common atrial flutter results in very high success rates and almost no complications. However, bidirectional conduction block through the isthmus may be challenging in a small percentage of patients regarding the use of high power and high temperature settings during radiofrequency delivery. Anatomical and physiological circumstances may be the reason for such difficulties to achieve bidirectional block at the cavo-tricuspid isthmus. However, in the present case we show edema formation after multiple shots of radiofrequency delivery at the cavo-tricuspid isthmus, which complicates the achievement of bidirectional conduction block. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La ablación con catéter del flutter de tipo común dependiente del istmo es un procedimiento con elevada tasa de éxito y rara vez complicaciones. Sin embargo, en un pequeño porcentaje de casos puede resultar complicado conseguir el objetivo de bloquear bidireccionalmente el istmo durante el procedimiento de ablación a pesar de incrementar la potencia y temperatura del catéter de radiofrecuencia. Las características anatómicas y fisiológicas del istmo cavo-tricuspídeo pueden ocasionar dificultades en la consecución del bloqueo bidireccional. Sin embargo, en el presente caso mostramos cómo la propia aplicación de radiofrecuencia puede ocasionar edema importante tras múltiples aplicaciones con las consiguientes dificultades para conseguir el bloqueo bidireccional del istmo. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Catheter-based ablation of isthmus-dependent common atrial flutter results in very high success rates and almost no complications. However, bidirectional conduction block through the isthmus may be challenging in a small percentage of patients regarding the use of high power and high temperature settings during radiofrequency delivery. Anatomical and physiological circumstances may be the reason for such difficulties to achieve bidirectional block at the cavo-tricuspid isthmus. However, in the present case we show edema formation after multiple shots of radiofrequency delivery at the cavo-tricuspid isthmus, which complicates the achievement of bidirectional conduction block. [ABSTRACT FROM AUTHOR]
ISSN:14059940
DOI:10.1016/j.acmx.2013.07.007