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

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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]
Copyright of Archivos de Cardiología de México is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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DbLabel: MedicLatina
An: 95874469
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PubType: Academic Journal
PubTypeId: academicJournal
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: What is behind radiofrequency delivery at the cavo-tricuspid isthmus?
– Name: TitleAlt
  Label: Alternate Title
  Group: TiAlt
  Data: ¿Qué sucede en el istmo cavo-tricuspídeo durante la ablación con radiofreuencia?
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Filgueiras-Rama%2C+David%22">Filgueiras-Rama, David</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Arceluz%2C+Martín%22">Arceluz, Martín</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Castrejón%2C+Sergio%22">Castrejón, Sergio</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Estrada%2C+Alejandro%22">Estrada, Alejandro</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Figueroa%2C+Jorge%22">Figueroa, Jorge</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ortega-Molina%2C+Marta%22">Ortega-Molina, Marta</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Delgado%2C+Reina%22">Delgado, Reina</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Merino%2C+José+L%2E%22">Merino, José L.</searchLink><relatesTo>1</relatesTo><i> jlmerino@arritmias.net</i>
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  Data: <searchLink fieldCode="JN" term="%22Archivos+de+Cardiología+de+México%22">Archivos de Cardiología de México</searchLink>. ene-mar2014, Vol. 84 Issue 1, p51-52. 2p. 1 Black and White Photograph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22RADIO+frequency%22">RADIO frequency</searchLink><br /><searchLink fieldCode="DE" term="%22HEART+abnormalities%22">HEART abnormalities</searchLink><br /><searchLink fieldCode="DE" term="%22HEART+conduction+system%22">HEART conduction system</searchLink><br /><searchLink fieldCode="DE" term="%22CATHETERS%22">CATHETERS</searchLink><br /><searchLink fieldCode="DE" term="%22EDEMA%22">EDEMA</searchLink><br /><searchLink fieldCode="DE" term="%22ATRIAL+flutter%22">ATRIAL flutter</searchLink><br /><searchLink fieldCode="DE" term="%22PHYSIOLOGY%22">PHYSIOLOGY</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: 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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Archivos de Cardiología de México is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1016/j.acmx.2013.07.007
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      – Code: eng
        Text: English
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        PageCount: 2
        StartPage: 51
    Subjects:
      – SubjectFull: RADIO frequency
        Type: general
      – SubjectFull: HEART abnormalities
        Type: general
      – SubjectFull: HEART conduction system
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      – SubjectFull: CATHETERS
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      – SubjectFull: EDEMA
        Type: general
      – SubjectFull: ATRIAL flutter
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      – SubjectFull: PHYSIOLOGY
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              Text: ene-mar2014
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