Managing peri-mitral flutter

J Cardiovasc Electrophysiol. 2023 Oct;34(10):2145-2151. doi: 10.1111/jce.15808. Epub 2023 Jan 18.

Abstract

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.

Keywords: catheter ablation; mitral isthmus; peri-mitral flutter.

Publication types

  • Review

MeSH terms

  • Atrial Fibrillation* / complications
  • Atrial Fibrillation* / diagnosis
  • Atrial Fibrillation* / surgery
  • Atrial Flutter* / diagnosis
  • Atrial Flutter* / etiology
  • Atrial Flutter* / surgery
  • Catheter Ablation* / adverse effects
  • Humans
  • Incidence
  • Treatment Outcome