{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T09:55:48Z","timestamp":1697277348955},"reference-count":12,"publisher":"Wiley","issue":"6p1","license":[{"start":{"date-parts":[[2004,5,25]],"date-time":"2004-05-25T00:00:00Z","timestamp":1085443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:p> <jats:italic>Cure of typical atrial flutter (AFL) by catheter ablation to produce bidirectional block across the tricuspid annulus\u2010inferior vena cava isthmus (IS) is highly effective, but failures may occur. We describe a technique that may allow creation of bidirectional block where a conventional strategy has failed.AFL ablation was performed using the conventional approach with a mapping\/ablation (ablation) catheter introduced via the right femoral vein (RFV) to create a line of bidirectional block across the IS. If this was not achieved after five passes of the ablation catheter from the tricuspid annulus to the inferior vena cava (IVC) a catheter inversion technique was used. This allowed stable positioning of the ablation catheter at the IVC end of the isthmus. In 11 patients, a mean of 17 (range 3 to 45) radiofrequency (RF) applications was given before the catheter inversion technique was applied. Following catheter inversion a mean of 4 (1 to 14) further RF applications achieved bidirectional isthmus block in every patient. No complications occurred. Catheter inversion provides a simple, safe, and effective means of achieving bidirectional isthmus conduction block in cases where a conventional ablation strategy might have failed. (PACE 2004; 27[Pt. I]:775\u2013778)<\/jats:italic> <\/jats:p>","DOI":"10.1111\/j.1540-8159.2004.00527.x","type":"journal-article","created":{"date-parts":[[2004,5,25]],"date-time":"2004-05-25T08:57:56Z","timestamp":1085475476000},"page":"775-778","source":"Crossref","is-referenced-by-count":5,"title":["Catheter Inversion:"],"prefix":"10.1111","volume":"27","author":[{"given":"SIMON C.","family":"SPORTON","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. WYN","family":"DAVIES","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARK J.","family":"EARLEY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"VIAS","family":"MARKIDES","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ANTHONY","family":"W. NATHAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RICHARD J.","family":"SCHILLING","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,5,25]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(86)90840-4"},{"key":"e_1_2_6_3_2","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1111\/j.1540-8159.1996.tb03368.x","article-title":"Atrial flutter mapping and ablation I. Studying atrial flutter mechanisms by mapping and entrainment","volume":"19","author":"Cosio FG","year":"1996","journal-title":"PACE"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1996.tb00488.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(93)91014-9"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(95)00029-4"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.92.6.1389"},{"key":"e_1_2_6_8_2","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1161\/01.CIR.93.2.284","article-title":"Electrophysiological effects of catheter ablation of inferior vena cava\u2010tricuspid annulus isthmus in common atrial flutter","volume":"93","author":"Cauchmez B","year":"1996","journal-title":"Circulation"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(96)00345-2"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.101.18.2178"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.23.3017"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1998.tb00091.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.13.1700"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1540-8159.2004.00527.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1540-8159.2004.00527.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T14:38:53Z","timestamp":1697121533000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1540-8159.2004.00527.x"}},"subtitle":["A Technique to Complete Isthmus Ablation and Cure Atrial Flutter"],"short-title":[],"issued":{"date-parts":[[2004,5,25]]},"references-count":12,"journal-issue":{"issue":"6p1","published-print":{"date-parts":[[2004,6]]}},"alternative-id":["10.1111\/j.1540-8159.2004.00527.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1540-8159.2004.00527.x","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,5,25]]}}}