Result assessment of typical atrial flutter ablation base on application of three-dimensional electroanatomy mapping at Hanoi heart hospital
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Abstract
Background: Atrial flutter is a rare type of arrhythmia in clinical practice, but it is a long-lasting complex arrhythmia that causes uncomfortable symptoms and serious complications. The method of ablation of atrial flutter using X-ray irradiation has many shortcomings such as prolonged irradiation time, and the success rate is only 80-85%. The method of ablation using the 3-Dimensional electrical mapping method has been widely used in typical atrial flutter ablation, but there have not been many studies evaluating its effectiveness, so we carry out this study.
Objectives of the study: Assessment for electrocardiography, electrophysiology study characteristic, and ablation result of typical atrial flutter using three-dimensional electrical mapping.
Research objects and methods: case series study, 17 patients diagnosed with atrial flutter were electrophysiology study and ablated from 10/2019 to 10/2022 at Hanoi Heart Hospital.
Results: Regarding the effectiveness of atrial flutter ablation, 100% of patients with atrial flutter caused a seizure and successfully ablated atrial flutter by RF. In terms of procedure time, our study has an average of 103.53 ± 74.64 minutes for each procedure, of which the fastest is 20 minutes and the longest is 360 minutes. Regarding the time of X-ray irradiation, the average of our study was 10.67 ± 9.86 minutes, of which the shortest was 4 minutes and the longest was 45 minutes.
Conclusion: Typical atrial flutter ablation based on 3D mapping application has had high success at Hanoi heart hospital.
Article Details
Keywords
typical atrial flutter, ablation, cardiac electrophysiology study, three-dimensional electrical mapping
References
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