title: Radiofrequency Ablation of Typical Atrial Flutter via Right Jugular Vein due to Bilateral Obstructed Iliac Veins in a Patient with Dilated Cardiomyopathy.
abstract: Ablation of cavotricuspid isthmus (CTI) is the gold standard method in the treatment of isthmus dependent atrial flutter (AFl). Venous access was obtained usually via right or left femoral veins. In rare cases of obstruction of iliofemoral veins, ablation of CTI can be performed only through the superior approach. We present a 74-year-old woman of typical AFl and dilated cardiomyopathy that was ablated through the right jugular vein because of obstruction of the left and the right iliac veins. This is the first report of successful ablation of CTI in a patient with dilated cardiomyopathy via superior approach.
authors.affiliation: Department of Cardiology, Kocaeli Derince Education and Research Hospital, 41500 Kocaeli, Turkey.
authors.forename: Tolga
authors.initials: T
authors.lastname: Aksu
authors.affiliation: Department of Cardiology, Kocaeli Derince Education and Research Hospital, 41500 Kocaeli, Turkey.
authors.forename: Tumer Erdem
authors.initials: TE
authors.lastname: Guler
authors.affiliation: Department of Cardiology, Istanbul Medical Faculty, Istanbul University, 34000 Istanbul, Turkey.
authors.forename: Sukriye Ebru
authors.initials: SE
authors.lastname: Golcuk
authors.affiliation: Department of Cardiology, Kocaeli Derince Education and Research Hospital, 41500 Kocaeli, Turkey.
authors.forename: Kazım Serhan
authors.initials: KS
authors.lastname: Ozcan
authors.affiliation: Department of Cardiology, Kocaeli Derince Education and Research Hospital, 41500 Kocaeli, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Erden