Coronary sinus and great cardiac vein electroanatomic mapping predicts the activation delay of the coronary sinus branches

2020 ◽  
Vol 31 (8) ◽  
pp. 2061-2067
Author(s):  
Massimiliano Maines ◽  
Francesco Peruzza ◽  
Alessandro Zorzi ◽  
Paolo Moggio ◽  
Carlo Angheben ◽  
...  



EP Europace ◽  
2016 ◽  
Vol 18 (suppl_1) ◽  
pp. i78-i78
Author(s):  
Maurizio Del Greco ◽  
Anna Cima ◽  
Angheben Carlo ◽  
Massimiliano Maines ◽  
Domenico Catanzariti ◽  
...  


1978 ◽  
Vol 234 (2) ◽  
pp. H163-H166 ◽  
Author(s):  
H. K. Nakazawa ◽  
D. L. Roberts ◽  
F. J. Klocke

The fractions of left anterior descending (LAD) and circumflex (LC) inflow drainage into the canine great cardiac vein (GCV) and coronary sinus (CS) have been quantitated by use of a right heart bypass preparation in which GCV outflow was isolated from the remainder of CS outflow. Following direct LAD injection of indocyanine green dye (ICG), 63 +/- 8% (SD) of the total amount of dye recovered appeared in GCV outflow and the remainder in CS outflow. CS recovery of ICG was decreased appreciably by ligation of epicardial venous connections between the LAD and LC beds, but was not affected by selective reductions of LAD or LC inflow. Only 3 +/- 3% of ICG injected into the LC was recovered in GVC outflow under basal conditions, and these low values were not affected measurably by selective reductions of LAD or LC inflow. CS drainage of LAD inflow could be augmented by selective increments of GCV pressure exceeding 7-10 mmHg. Increments of LC drainage in GCV outflow required CS pressures that exceeded GCV pressures by greater than 10 mmHg.



Heart Rhythm ◽  
2004 ◽  
Vol 1 (5) ◽  
pp. 548-553 ◽  
Author(s):  
Yunlong Xia ◽  
Eva Hertervig ◽  
Ole Kongstad ◽  
Erik Ljungström ◽  
Platonov Pyotr ◽  
...  


EP Europace ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. 1383-1383
Author(s):  
Ligang Ding ◽  
Shucheng Li ◽  
Xiansheng Huang ◽  
Chunhui Li ◽  
Hong Wang ◽  
...  


2002 ◽  
Vol 25 (4) ◽  
pp. 414-419 ◽  
Author(s):  
MICHAEL GIUDICI ◽  
STUART WINSTON ◽  
JAMES KAPPLER ◽  
TIMOTHY SHINN ◽  
IGOR SINGER ◽  
...  


Author(s):  
Gökhan Aksan ◽  
Osman Can Yontar ◽  
Ahmet Yanık ◽  
Uğur Arslan ◽  
Mustafa Yenerçağ

Focal atrial tachycardias (ATs) arising from the left atrium (LA) most commonly originate from the ostium of the pulmonary vein, the superior mitral annulus, the body of the coronary sinus, the LA septum, and the LA appendage. Focal ATs originating from the posterior wall of the LA are extremely rare. A 34-year-old male patient presented to the cardiology outpatient clinic complaining of palpitation. Electrocardiography showed a tachycardia at a ventricular rate of 150 bpm and a narrow QRS complex. Therefore, an electrophysiological study was performed, which was consistent with an AT. The patient underwent an electrophysiological study in tachycardias with narrow QRS complexes. The diagnostic electrophysiological findings were consistent with an AT. The AT cycle length was found to be 405 ms with variability in the ventriculoatrial interval. Simultaneous LA anatomical and activation mapping was performed during the AT using a 3D electroanatomic mapping system (CARTO) and a quadripolar unidirectional irrigated tip catheter. The activation mapping revealed that the earliest endocardial activation site was at the posterior wall of the LA, where the local electrogram was 72 ms and 35 ms before the coronary sinus reference and the P-wave onset, respectively. The activation mapping also showed centrifugal spreading and mid-diastolic, fractionated signals on the posterior wall. Radiofrequency ablation was successfully performed with 30-watt power at the site of the earliest atrial activation, with a fractionated electrogram terminating the tachycardia. LA posterior ATs are a rare form of AT. The electroanatomic mapping method enables the accurate localization of the LA focal tachycardia, and a high success rate is achieved with ablation therapy.





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