Ethanol infusion in the vein of marshall in a patient with persistent atrial fibrillation

Jah Yeon Choi; Eun Jin Park; Hee Dong Kim; Sung Hun Park; Ji Young Song; Dae In Lee; Jaemin Shim; Young Hoon Kim

doi:10.4070/kcj.2015.45.5.424

Ethanol infusion in the vein of marshall in a patient with persistent atrial fibrillation

Jah Yeon Choi, Eun Jin Park, Hee Dong Kim, Sung Hun Park, Ji Young Song, Dae In Lee, Jaemin Shim, Young Hoon Kim

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

We report the case of a 64-year-old male with persistent atrial fibrillation (AF) terminated by ethanol infusion into vein of Marshall as add-on therapy. Three-dimensional automated complex fractionated atrial electrogram (CFAE) during AF revealed clustering of CFAE at perimitral isthmus (PMI) and its unipolar mapping showed rotor-like activation, which was suggested to be critical in the perpetuation of AF. AF was organized to atrial tachycardia (AT) by 100% ethanol infusion in the vein of Marshall. Adjunctive radiofrequency ablation at PMI successfully terminated AT and led to bidirectional block of PMI.

Original language	English
Pages (from-to)	424-427
Number of pages	4
Journal	Korean Circulation Journal
Volume	45
Issue number	5
DOIs	https://doi.org/10.4070/kcj.2015.45.5.424
Publication status	Published - 2015 Sept 1
Externally published	Yes

Keywords

Atrial fibrillation
Catheter ablation

ASJC Scopus subject areas

Internal Medicine
Cardiology and Cardiovascular Medicine

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10.4070/kcj.2015.45.5.424

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title = "Ethanol infusion in the vein of marshall in a patient with persistent atrial fibrillation",

abstract = "We report the case of a 64-year-old male with persistent atrial fibrillation (AF) terminated by ethanol infusion into vein of Marshall as add-on therapy. Three-dimensional automated complex fractionated atrial electrogram (CFAE) during AF revealed clustering of CFAE at perimitral isthmus (PMI) and its unipolar mapping showed rotor-like activation, which was suggested to be critical in the perpetuation of AF. AF was organized to atrial tachycardia (AT) by 100% ethanol infusion in the vein of Marshall. Adjunctive radiofrequency ablation at PMI successfully terminated AT and led to bidirectional block of PMI.",

keywords = "Atrial fibrillation, Catheter ablation",

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T1 - Ethanol infusion in the vein of marshall in a patient with persistent atrial fibrillation

AU - Choi, Jah Yeon

AU - Park, Eun Jin

AU - Kim, Hee Dong

AU - Park, Sung Hun

AU - Song, Ji Young

AU - Lee, Dae In

AU - Shim, Jaemin

AU - Kim, Young Hoon

PY - 2015/9/1

Y1 - 2015/9/1

N2 - We report the case of a 64-year-old male with persistent atrial fibrillation (AF) terminated by ethanol infusion into vein of Marshall as add-on therapy. Three-dimensional automated complex fractionated atrial electrogram (CFAE) during AF revealed clustering of CFAE at perimitral isthmus (PMI) and its unipolar mapping showed rotor-like activation, which was suggested to be critical in the perpetuation of AF. AF was organized to atrial tachycardia (AT) by 100% ethanol infusion in the vein of Marshall. Adjunctive radiofrequency ablation at PMI successfully terminated AT and led to bidirectional block of PMI.

AB - We report the case of a 64-year-old male with persistent atrial fibrillation (AF) terminated by ethanol infusion into vein of Marshall as add-on therapy. Three-dimensional automated complex fractionated atrial electrogram (CFAE) during AF revealed clustering of CFAE at perimitral isthmus (PMI) and its unipolar mapping showed rotor-like activation, which was suggested to be critical in the perpetuation of AF. AF was organized to atrial tachycardia (AT) by 100% ethanol infusion in the vein of Marshall. Adjunctive radiofrequency ablation at PMI successfully terminated AT and led to bidirectional block of PMI.

KW - Atrial fibrillation

KW - Catheter ablation

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DO - 10.4070/kcj.2015.45.5.424

M3 - Article

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JO - Korean Circulation Journal

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ER -

Ethanol infusion in the vein of marshall in a patient with persistent atrial fibrillation

Abstract

Keywords

ASJC Scopus subject areas

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