Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation

被引：2
|
作者：
Choi, Jah Yeon [1 ]
Park, Eun Jin [1 ]
Kim, Hee Dong [1 ]
Park, Sung Hun [1 ]
Song, Ji Young [1 ]
Lee, Dae In [1 ]
Shim, Jaemin [1 ]
Kim, Young-Hoon [1 ]
机构：
[1] Korea Univ, Anam Hosp, Dept Cardiol, Coll Med, Seoul 02841, South Korea
来源：
KOREAN CIRCULATION JOURNAL | 2015年 / 45卷 / 05期
关键词：
Atrial fibrillation; Catheter ablation; ABLATION; ELECTROGRAMS;
D O I：
10.4070/kcj.2015.45.5.424
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report the case of a 64-year-old male with persistent atrial fibrillation (AF) terminated by ethanol infusion into vein of Marshall as add-on therapy. Three-dimensional automated complex fractionated atrial electrogram (CFAE) during AF revealed clustering of CFAE at perimitral isthmus (PMI) and its unipolar mapping showed rotor-like activation, which was suggested to be critical in the perpetuation of AF. AF was organized to atrial tachycardia (AT) by 100% ethanol infusion in the vein of Marshall. Adjunctive radiofrequency ablation at PMI successfully terminated AT and led to bidirectional block of PMI.
引用
收藏
页码：424 / 427
页数：4
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