ハギワラ　ノブヒサ   Nobuhisa Hagiwara   萩原　誠久    所属   その他 その他    職種   非常勤嘱託
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
担当区分	最終著者
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