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Tricuspid Isthmus Imaged by CARTOsound, Patients With Typical Atrial Flutter

Conditions
Atrial Flutter
Interventions
Device: tricuspid isthmus imaging with Cartosound
Registration Number
NCT01113788
Lead Sponsor
Lawson Health Research Institute
Brief Summary

The investigators propose a third hypothesis based on the anatomic observations made in pathological studies. The investigators hypothesize that the anatomic architecture determines the functional properties of the TV-IVC isthmus. As a result,

• Muscular bundles are preferential routes of conduction through the TV-IVC isthmus. The isthmus acts like a series of discreet conduction routes rather than as a sheet of tissue.

The muscular bundles form selective targets for ablation and therefore the entire anatomic line need not be ablated. This has direct implications for ablation of the isthmus.

Detailed Description

Patients undergoing atrial flutter ablation will have cartosound imaging done during procedure to determine if this will shorten ablation times.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Patients must be over 18 years of age provided written informed consent documented atrial flutter by ECG , holter monitor or TTM
Exclusion Criteria
  • previous atrial flutter ablation non isthmus dependent atrial flutter prior right atrial surgery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
imagingtricuspid isthmus imaging with Cartosoundimaging with usual catheter/fluoroscopy, no cartosound
Primary Outcome Measures
NameTimeMethod
observational including ablation lesion number, ablation time in minutes, fluoroscopic12 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

London Health Sciences Center

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London, Ontario, Canada

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