Transoesophageal echocardiography prior to atrial flutter ablation averts a dramatic complication.
Catheter ablation is now the primary strategy for typical atrial flutter, given success rates in the order of 95 to 98%, with a low risk of recurrence. It also has a low complication rate but is not entirely risk free, and should still be approached judiciously as is illustrated by the index case.
Michael
Kevin A
KA
Arrhythmia Service, Kingston General Hospital, Queen's University, Ontario, Canada.
Johri
Amer
A
Baranchuk
Adrian
A
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001282:Atrial Flutter / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D017115:Catheter Ablation / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006801:Humans; D008297:Male; D011300:Preoperative Care; D011655:Pulmonary Embolism / Q000209:etiology; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin