イワナミ　ユウジ   Iwanami Yuuji   岩波　裕史    所属   医学部 医学科（附属足立医療センター）    職種   助教
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Targeting an epicardial-endocardial breakthrough in a case with an intractable common atrial flutter using ultra-high-resolution three-dimensional mapping.
掲載誌名	正式名：Pacing and clinical electrophysiology : PACE 略　 称：Pacing Clin Electrophysiol ISSNコード：0147-8389/1540-8159
掲載区分	国外
出版社	John Wiley & Sons, Inc
巻・号・頁	41(9),pp.1261-1263
著者・共著者	HIGUCHI Satoshi†, SHODA Morio*, IWANAMI Yuji, YAGISHITA Daigo, EJIMA Koichiro, HAGIWARA Nobuhisa
発行年月	2018/09
概要	The recent development of high-density high-spatial resolution three-dimensional mapping has provided detailed information for understanding complicated atrial activation patterns at a level not previously possible. Using this technology, we report a case with recurrent common atrial flutter, demonstrating the presence of a bridging epicardial fiber that traveled across the previous cavotricuspid isthmus ablation lesion with apparent epicardial-endocardial breakthrough (EEB) sites located on both sides of the ablation line. The entrainment study indicated that the EEB site, located adjacent to the coronary sinus ostium, was part of the recurrent circuit and a focal ablation targeting that site terminated the tachycardia.
DOI	10.1111/pace.13361
PMID	29717782