{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:30:45Z","timestamp":1787502645737,"version":"build-2736575974"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T00:00:00Z","timestamp":1593388800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Investissement d\u2019avenir","award":["IHU LIRYC ANR-10-IAHU-04"],"award-info":[{"award-number":["IHU LIRYC ANR-10-IAHU-04"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims\u2003<\/jats:title>\n                    <jats:p>We hypothesized that an epicardial approach using ethanol infusion in the vein of Marshall (EIVOM) may improve the result of ablation for perimitral flutter (PMF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results\u2003<\/jats:title>\n                    <jats:p>We studied 103 consecutive patients with PMF undergoing high-resolution mapping. The first 71 were treated with radiofrequency (RF) ablation alone (RF-group), and the next 32 underwent EIVOM followed by RF on the endocardial and epicardial mitral isthmus (EIVOM\/RF-group). Contact force was not measured during ablation. Acute and 1-year outcomes were compared. Flutter termination rates were similar between the RF-group (63\/71, 88.7%) and EIVOM\/RF-group (31\/32, 96.8%, P\u2009=\u20090.27). Atrial tachycardia (AT) terminated with EIVOM alone in 22\/32 (68.6%) in the EIVOM\/RF-group. Bidirectional block of mitral isthmus was always achieved in the EIVOM\/RF-group, but significantly less frequently achieved in the RF-group (62\/71, 87.3%; P\u2009=\u20090.05). Median RF duration for AT termination\/conversion was shorter [0 (0\u20136) s in the EIVOM\/RF-group than 312 (55\u2013610) s in the RF-group, P\u2009&amp;lt;\u20090.0001], as well as for mitral isthmus block in the EIVOM\/RF-group [246 (0\u2013663) s] than in the RF-group [900 (525\u20131310) s, P\u2009&amp;lt;\u20090.0001]. Pericardial effusion was observed in 1\/32 (3.2%) in EIVOM\/RF-group and 5\/71 (7.0%) in RF-group (P\u2009=\u20090.66); two in RF-group required drainage and one of them developed subsequent ischaemic stroke. One-year follow-up demonstrated fewer recurrences in the EIVOM\/RF-group [6\/32 (18.8%)] than in the RF-group [29\/71 (40.8%), P\u2009=\u20090.04]. By multivariate analysis, only EIVOM was significantly associated with less AT recurrence (hazard ratio\u2009=\u20090.35, P\u2009=\u20090.018).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion\u2003<\/jats:title>\n                    <jats:p>Ethanol infusion in the vein of Marshall may reduce RF duration required for PMF termination as well as for mitral isthmus block without severe complications, and the mid-term outcome may be improved by this approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euaa137","type":"journal-article","created":{"date-parts":[[2020,5,24]],"date-time":"2020-05-24T07:07:56Z","timestamp":1590304076000},"page":"1252-1260","source":"Crossref","is-referenced-by-count":49,"title":["Acute and mid-term outcome of ethanol infusion of vein of Marshall for the treatment of perimitral flutter"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8473-7514","authenticated-orcid":false,"given":"Masateru","family":"Takigawa","sequence":"first","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"},{"name":"Heart Rhythm Center, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 1138510, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Vlachos","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire A","family":"Martin","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Bourier","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Denis","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Kitamura","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghassen","family":"Cheniti","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Lam","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruairidh","family":"Martin","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Frontera","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel","family":"Thompson","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gr\u00e9goire","family":"Massoulli\u00e9","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Wolf","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Escande","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9mentine","family":"Andr\u00e9","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Jun","family":"Zeng","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Nakatani","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Pillois","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josselin","family":"Duchateau","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Pambrun","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Sacher","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hubert","family":"Cochet","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e9l\u00e8ze","family":"Hocini","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Ha\u00efssaguerre","sequence":"additional","affiliation":[{"name":"Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Universit\u00e9 de Bordeaux, Avenue de Magellan, 33604 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