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Hepatico‐Tricuspid Isthmus Ablation for Typical‐Like Atrial Flutter by Femoral Approach in Absence of the Inferior Vena Cava: Use of Magnetic Navigation and Three‐Dimensional Mapping with Image Integration
Author(s) -
LATCU DECEBAL G.,
BUN SOKSITHIKUN,
RICARD PHILIPPE,
SAOUDI NADIR
Publication year - 2012
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2011.03051.x
Subject(s) - medicine , atrial flutter , inferior vena cava , ablation , catheter ablation , tricuspid valve , femoral vein , radiology , anatomy , cardiology
The previously unknown congenital absence of inferior vena cava, an otherwise benign condition, may create difficulties for catheter ablation of arrhythmias. We describe a case of a typical‐like atrial flutter, in which magnetic navigation was important for conserving the femoral approach. Electroanatomic mapping with image integration helped define the critical isthmus between the ostia of the suprahepatic veins and the tricuspid valve. (PACE 2012; 35:e312–e315)