Detection of a unidirectional epicardial connection between the right‐sided pulmonary venous carina and the right atrium by pacing from a high‐density mapping catheter
We report a case of recurring, persistent atrial fibrillation (AF) in a patient with a unidirectional epicardial connection (EC) between the right‐sided pulmonary venous (PV) carina and the right atrium detected using a high‐density mapping catheter with a steerable introducer support, but not a con...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2023-08, Vol.46 (8), p.928-933 |
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| container_title | Pacing and clinical electrophysiology |
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| creator | Umemoto, Shintaro Takemoto, Masao Koga, Tokushi Tsuchihashi, Takuya |
| description | We report a case of recurring, persistent atrial fibrillation (AF) in a patient with a unidirectional epicardial connection (EC) between the right‐sided pulmonary venous (PV) carina and the right atrium detected using a high‐density mapping catheter with a steerable introducer support, but not a conventional circular mapping catheter. This unidirectional EC could be steadily abolished by a radiofrequency delivery. Finally, we were able to successfully achieve complete PV antrum isolation. Thereafter, he has remained well without any AF. |
| doi_str_mv | 10.1111/pace.14645 |
| format | Article |
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This unidirectional EC could be steadily abolished by a radiofrequency delivery. Finally, we were able to successfully achieve complete PV antrum isolation. Thereafter, he has remained well without any AF.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.14645</identifier><identifier>PMID: 36515076</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>atrial fibrillation ; case report ; Case reports ; catheter ablation ; Catheters ; epicardial connection ; high‐density mapping ; Mapping ; unidirectional connection</subject><ispartof>Pacing and clinical electrophysiology, 2023-08, Vol.46 (8), p.928-933</ispartof><rights>2022 Wiley Periodicals LLC.</rights><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3905-ad021e234d986cf6ea590ecfaf223480fa7626446001a7d05e27d055ab41e5353</citedby><cites>FETCH-LOGICAL-c3905-ad021e234d986cf6ea590ecfaf223480fa7626446001a7d05e27d055ab41e5353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpace.14645$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.14645$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36515076$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Umemoto, Shintaro</creatorcontrib><creatorcontrib>Takemoto, Masao</creatorcontrib><creatorcontrib>Koga, Tokushi</creatorcontrib><creatorcontrib>Tsuchihashi, Takuya</creatorcontrib><title>Detection of a unidirectional epicardial connection between the right‐sided pulmonary venous carina and the right atrium by pacing from a high‐density mapping catheter</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>We report a case of recurring, persistent atrial fibrillation (AF) in a patient with a unidirectional epicardial connection (EC) between the right‐sided pulmonary venous (PV) carina and the right atrium detected using a high‐density mapping catheter with a steerable introducer support, but not a conventional circular mapping catheter. This unidirectional EC could be steadily abolished by a radiofrequency delivery. Finally, we were able to successfully achieve complete PV antrum isolation. Thereafter, he has remained well without any AF.</description><subject>atrial fibrillation</subject><subject>case report</subject><subject>Case reports</subject><subject>catheter ablation</subject><subject>Catheters</subject><subject>epicardial connection</subject><subject>high‐density mapping</subject><subject>Mapping</subject><subject>unidirectional connection</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kUtOwzAQhi0EouWx4QDIEjukgJ3YbrJEpTwkJFjAOnLtCXXVOMF2qLrjCNyDW3ESXFJghxf2aOab3_b8CB1RckbjOm-lgjPKBONbaEg5I0lOebGNhoSyUZJneTFAe97PCSGCML6LBpnglJORGKKPSwiggmksbioscWeNNq7PyAWG1ijptImhaqzdkFMISwCLwwywM8-z8Pn27o0GjdtuUcdGt8KvYJvO49htrMTS6j8ay-BMV-PpCsenG_uMK9fU8fJZrEYpDdabsMK1bNt1VcnYGsAdoJ1KLjwcbs599HQ1eRzfJHf317fji7tEZQXhidQkpZBmTBe5UJUAyQsCqpJVGpM5qeRIpIIxQQiVI004pOudyymjwDOe7aOTXrd1zUsHPpTzpnNxHL5Mc5bHOdO8iNRpTynXeO-gKltn6vj1kpJy7Uu59qX89iXCxxvJblqD_kV_jIgA7YGlWcDqH6ny4WI86UW_AJaJnVk</recordid><startdate>202308</startdate><enddate>202308</enddate><creator>Umemoto, Shintaro</creator><creator>Takemoto, Masao</creator><creator>Koga, Tokushi</creator><creator>Tsuchihashi, Takuya</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope></search><sort><creationdate>202308</creationdate><title>Detection of a unidirectional epicardial connection between the right‐sided pulmonary venous carina and the right atrium by pacing from a high‐density mapping catheter</title><author>Umemoto, Shintaro ; Takemoto, Masao ; Koga, Tokushi ; Tsuchihashi, Takuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3905-ad021e234d986cf6ea590ecfaf223480fa7626446001a7d05e27d055ab41e5353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>atrial fibrillation</topic><topic>case report</topic><topic>Case reports</topic><topic>catheter ablation</topic><topic>Catheters</topic><topic>epicardial connection</topic><topic>high‐density mapping</topic><topic>Mapping</topic><topic>unidirectional connection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Umemoto, Shintaro</creatorcontrib><creatorcontrib>Takemoto, Masao</creatorcontrib><creatorcontrib>Koga, Tokushi</creatorcontrib><creatorcontrib>Tsuchihashi, Takuya</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Umemoto, Shintaro</au><au>Takemoto, Masao</au><au>Koga, Tokushi</au><au>Tsuchihashi, Takuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of a unidirectional epicardial connection between the right‐sided pulmonary venous carina and the right atrium by pacing from a high‐density mapping catheter</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2023-08</date><risdate>2023</risdate><volume>46</volume><issue>8</issue><spage>928</spage><epage>933</epage><pages>928-933</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>We report a case of recurring, persistent atrial fibrillation (AF) in a patient with a unidirectional epicardial connection (EC) between the right‐sided pulmonary venous (PV) carina and the right atrium detected using a high‐density mapping catheter with a steerable introducer support, but not a conventional circular mapping catheter. 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| ispartof | Pacing and clinical electrophysiology, 2023-08, Vol.46 (8), p.928-933 |
| issn | 0147-8389 1540-8159 |
| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | atrial fibrillation case report Case reports catheter ablation Catheters epicardial connection high‐density mapping Mapping unidirectional connection |
| title | Detection of a unidirectional epicardial connection between the right‐sided pulmonary venous carina and the right atrium by pacing from a high‐density mapping catheter |
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