Radiofrequency Ablation of Typical Atrial Flutter via Right Jugular Vein due to Bilateral Obstructed Iliac Veins in a Patient with Dilated Cardiomyopathy

Ablation of cavotricuspid isthmus (CTI) is the gold standard method in the treatment of isthmus dependent atrial flutter (AFl). Venous access was obtained usually via right or left femoral veins. In rare cases of obstruction of iliofemoral veins, ablation of CTI can be performed only through the sup...

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Bibliographic Details
Published in:Case reports in cardiology 2015-01, Vol.2015 (2015), p.1-3
Main Authors: Ozcan, Kazım Serhan, Golcuk, Sukriye Ebru, Guler, Tumer Erdem, Aksu, Tolga, Erden, Ismail
Format: Article
Language:English
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Case Report
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Summary:Ablation of cavotricuspid isthmus (CTI) is the gold standard method in the treatment of isthmus dependent atrial flutter (AFl). Venous access was obtained usually via right or left femoral veins. In rare cases of obstruction of iliofemoral veins, ablation of CTI can be performed only through the superior approach. We present a 74-year-old woman of typical AFl and dilated cardiomyopathy that was ablated through the right jugular vein because of obstruction of the left and the right iliac veins. This is the first report of successful ablation of CTI in a patient with dilated cardiomyopathy via superior approach.
ISSN:2090-6404
2090-6412
DOI:10.1155/2015/401580