Managing peri-mitral flutter.
Michael W LimPeter M KistlerPublished in: Journal of cardiovascular electrophysiology (2023)
The exponential rise in the incidence of peri-mitral flutter has paralleled the increasing use of more extensive atrial substrate ablation for atrial fibrillation (AF). Given the relative paucity of randomized evidence to support its role in AF management, mitral isthmus ablation should largely be reserved for patients with peri-mitral flutter. Catheter ablation for peri-mitral flutter is challenging due to complex anatomic relationships. The aim of this report is to review the anatomic considerations and approaches to catheter ablation for peri-mitral flutter.
Keyphrases
- catheter ablation
- left atrial
- atrial fibrillation
- mitral valve
- left atrial appendage
- oral anticoagulants
- direct oral anticoagulants
- left ventricular
- heart failure
- percutaneous coronary intervention
- aortic stenosis
- open label
- risk factors
- placebo controlled
- coronary artery disease
- acute coronary syndrome
- ejection fraction
- radiofrequency ablation