Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation
Korean Circulation Journal
;
: 424-427, 2015.
Article
in English
| WPRIM
| ID: wpr-225163
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Atrial Fibrillation
/
Tachycardia
/
Veins
/
Catheter Ablation
/
Electrophysiologic Techniques, Cardiac
/
Ethanol
Limits:
Humans
/
Male
Language:
English
Journal:
Korean Circulation Journal
Year:
2015
Type:
Article
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