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Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation

Authors
Choi, Jah YeonPark, Eun JinKim, Hee DongPark, Sung HunSong, Ji YoungLee, Dae InShim, JaeminKim, Young-Hoon
Issue Date
9월-2015
Publisher
KOREAN SOC CARDIOLOGY
Keywords
Atrial fibrillation; Catheter ablation
Citation
KOREAN CIRCULATION JOURNAL, v.45, no.5, pp.424 - 427
Indexed
SCIE
SCOPUS
KCI
Journal Title
KOREAN CIRCULATION JOURNAL
Volume
45
Number
5
Start Page
424
End Page
427
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/92622
DOI
10.4070/kcj.2015.45.5.424
ISSN
1738-5520
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.
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