{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:10:27Z","timestamp":1740179427660,"version":"3.37.3"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Ethanol infusion has recently been described as a curative strategy for certain peri-mitral flutters by blocking electrical conduction across the mitral isthmus along with the Marshall bundle. The present case showed that a right jugular vein approach, less described, may be a good choice when performing an ethanol infusion in the vein of Marshall (VOM).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 45-year-old man was admitted to our unit for dyspnoea associated with an atypical atrial flutter with a cycle length of 320\u2009ms. The left atrial activation map showed a peri-mitral counter-clockwise circuit. The atrial flutter cycle length went up to 345\u2009ms once an endocardial and epicardial point-by point-ablation of the mitral line was completed. At this stage, a new activation map showed that the mitral line was still permeable with an epicardial conduction bridge through the VOM. We decided to use an ethanol infusion for the ablation of the VOM. The coronary sinus could not be thoroughly catheterized due to a winding and angular shape so we decided to try a right jugular vein approach. A total of 9\u2009mL of ethanol was injected into the VOM. A final venogram showed the diffusion of ethanol around the VOM. Sinus rhythm was restored during the last ethanol infusion. A new voltage map confirmed the completion of the mitral line, and we confirmed the bidirectional block.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The present case showed that a right jugular vein approach may be a good choice when catheterizing and performing an ethanol infusion in the VOM.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa260","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T04:37:31Z","timestamp":1598416651000},"page":"1-6","source":"Crossref","is-referenced-by-count":0,"title":["A case report of ethanol infusion in the vein of Marshall using the right jugular vein approach"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6587-5911","authenticated-orcid":false,"given":"Severine","family":"Philibert","sequence":"first","affiliation":[{"name":"HEGP, 20 rue Leblanc, 75015, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7371-8249","authenticated-orcid":false,"given":"Denis","family":"Amet","sequence":"additional","affiliation":[{"name":"HEGP, 20 rue Leblanc, 75015, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1672-376X","authenticated-orcid":false,"given":"Margaux","family":"De Chirac","sequence":"additional","affiliation":[{"name":"Biosense Webster Inc, Johnson & Johnson, Irvine, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Laurent","sequence":"additional","affiliation":[{"name":"CHU Dijon, 14 rue Gaffarel, 21000, Dijon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,8,26]]},"reference":[{"key":"2020110901531305100_ytaa260-B1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.hrthm.2017.09.040","article-title":"High-density activation mapping during peri-mitral atrial tachycardia demonstrates epicardial connection through the vein of Marshall","volume":"15","author":"Kawamura","year":"2018","journal-title":"Heart Rhythm"},{"key":"2020110901531305100_ytaa260-B2","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/j.hrthm.2015.10.018","article-title":"Ligament and vein of Marshall: a therapeutic opportunity in atrial fibrillation","volume":"13","author":"Rodr\u00edguez-Ma\u00f1ero","year":"2016","journal-title":"Heart Rhythm"},{"key":"2020110901531305100_ytaa260-B3","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.117.005152","article-title":"Demonstration of persistent conduction across the mitral isthmus via the vein of Marshall with high-density activation mapping","volume":"10","author":"Thompson","year":"2017","journal-title":"Circ Arrhythmia Electrophysiol"},{"key":"2020110901531305100_ytaa260-B4","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1111\/jce.14019","article-title":"Ethanol infusion for Marshall bundle epicardial connections in Marshall bundle-related atrial tachycardias following atrial fibrillation ablation: the accessibility and success rate of ethanol infusion by using a femoral approach","volume":"30","author":"Kitamura","year":"2019","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2020110901531305100_ytaa260-B5","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1016\/j.hrthm.2012.03.008","article-title":"Ethanol infusion in the vein of marshall facilitates mitral isthmus ablation","volume":"9","author":"B\u00e1ez-Escudero","year":"2012","journal-title":"Heart Rhythm"},{"key":"2020110901531305100_ytaa260-B6","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.jacep.2017.02.022","article-title":"The human left atrial venous circulation as a vascular route for atrial pharmacological therapies","volume":"3","author":"Valderr\u00e1bano","year":"2017","journal-title":"JACC Clin Electrophysiol"},{"key":"2020110901531305100_ytaa260-B7","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1161\/01.RES.31.1.18","article-title":"Inferior interatrial pathway in the dog","volume":"31","author":"Scherlag","year":"1972","journal-title":"Circ Res"},{"key":"2020110901531305100_ytaa260-B8","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.hrthm.2017.07.033","article-title":"Spectrum of atrial arrhythmias using the ligament of Marshall in patients with atrial fibrillation","volume":"15","author":"Chugh","year":"2018","journal-title":"Heart Rhythm"},{"key":"2020110901531305100_ytaa260-B9","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1161\/01.CIR.101.13.1503","article-title":"Vein of Marshall cannulation for the analysis of electrical activity in patients with focal atrial fibrillation","volume":"101","author":"Hwang","year":"2000","journal-title":"Circulation"}],"container-title":["European Heart Journal - 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