Conflicts of interest: Drs. Latcu, Ricard, and Saoudi received speaking honoraria from Biosense-Webster.
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
Article first published online: 16 MAR 2011
©2011, The Authors. Journal compilation ©2012 Wiley Periodicals, Inc.
Pacing and Clinical Electrophysiology
Volume 35, Issue 11, pages e312–e315, November 2012
How to Cite
LATCU, D. G., BUN, S.-S., RICARD, P. and SAOUDI, N. (2012), 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. Pacing and Clinical Electrophysiology, 35: e312–e315. doi: 10.1111/j.1540-8159.2011.03051.x
- Issue published online: 7 NOV 2012
- Article first published online: 16 MAR 2011
- Received October 22, 2010; revised November 12, 2010; accepted November 27, 2010.
- atrial flutter ablation;
- magnetic navigation;
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)