Ultra–fast, high density 3D mapping system for catheter ablation of atypical atrial flutter.
Jonasz Kozielski 1  
,  
Oskar Kowalski 2, 3  
,  
Radosław Lenarczyk 2  
,  
Wiktoria Kowalska 1  
,  
Zbigniew Kalarus 4  
,  
 
 
More details
Hide details
1
SCC at the Department of Cardiology, Congenial Heart Diseases and Electrotherapy. Silesian Center for Heart Diseases, Zabrze, Poland
2
Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Centre for Heart Diseases
3
Department of Dietetics, School of Public Health in Bytom, Medical University of Silesia, Katowice, Poland
4
Department of Cardiology, School of Medicine with the Division of Dentistry, Zabrze, Poland
Publish date: 2018-12-30
 
Heart Beat 2018;3:80–82
KEYWORDS:
TOPICS:
ABSTRACT:
Atypical atrial flutter is a rare supraventricular tachyarrhythmia which is extremely challenging to visualize using well known mapping systems. New approach using the ultra-fast, high resolution 3D mapping systems could be a step forward in understanding and treatment of this arrhythmia. We report a case of a 54- year- old man with paroxysmal, atypical atrial flutter who was admitted to the tertiary cardiology centre. The patient underwent pulmonary vein isolation due to atrial fibrillation and as a result of the intervention he has developed atypical atrial flutter. Arrhythmia was previously treated with electrical cardioversion but without any success. An ultra-fast, high-density 3D mapping system (Rhythmia, BostonScientific) was used to determine the arrhythmia localization. An ablation was done with a 8.5F basket mapping catheter equipped with 64-low noise electrode. This system has allowed for a precise and adequate mapping thus enabling the patient’s arrhythmia to convert into the sinus rhythm.
CORRESPONDING AUTHOR:
Ewa Jędrzejczyk-Patej   
Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Centre for Heart Diseases
eISSN:2543-6333