Atrial Flutter Ablation: Long-Term Results with Standard Approach after Eight Years of Experience

  • F. G. Cosío
  • M. López-Gil
  • E. Arribas
  • A. Goicolea


In the last 10 years there have been important advances in the understanding of atrial flutter mechanisms, that have led to new therapies aimed at circuit ablation. Mapping and entrainment studies have established that common flutter (FL) is due to a large reentry circuit in the right atrium, encircling superior and inferior vena cava in a “counterclockwise” direction (down the anterior wall, up the septal wall). A less common form of FL, usually producing positive looking waves in the inferior leads, is due to reentry in the same circuit in the opposite (“clockwise”) direction [1]. The crista terminalis is thought to play a crucial role in both cases, by blocking transverse conduction between the venae cavae orifices, on the bases of anisotropic conduction, and other anatomic obstacles, such as the Eustachian ridge, maybe important to direct activation in other areas [2].


Atrial Fibrillation Radiofrequency Ablation Atrial Flutter Right Atrium Sick Sinus Syndrome 
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Copyright information

© Springer-Verlag Italia 1998

Authors and Affiliations

  • F. G. Cosío
    • 1
  • M. López-Gil
    • 2
  • E. Arribas
    • 2
  • A. Goicolea
    • 1
  1. 1.Cardiology Services Hospital Universitario de GetafeMadridSpain
  2. 2.Hospital UniversitarioMadridSpain

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