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Typical AFL occurs in patients with atrial remodeling and shares risk factors with atrial fibrillation. It is also common in patients with a history of prior heart surgery or catheter ablation. It is characterized by a recognizable ECG pattern that is highly predictive of CTI\u2010dependent re\u2010entry in patients without iatrogenic atrial scars. Typical AFL is difficult to manage medically due to poor efficacy of rate\u2010controlling and antiarrhythmic drugs. Catheter ablation has been established in randomized trials to be superior to medical management in terms of safety, efficacy, and clinical outcomes including hospitalization and quality of life. Catheter ablation aims at achieving bidirectional conduction block across the CTI, which can be efficiently assessed by well\u2010established techniques such as differential pacing. Long\u2010term ablation success requires creating a stable transmural and continuous lesion, which can be optimized by systematic assessment of ablation parameters and lesion contiguity. The present review discusses the epidemiology, mechanisms, ECG characteristics, medical management, and catheter ablation of typical AFL.<\/jats:p>","DOI":"10.1111\/jce.16542","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T06:01:32Z","timestamp":1736229692000},"page":"2677-2691","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Typical Atrial Flutter: A Practical Review"],"prefix":"10.1111","volume":"36","author":[{"given":"Nicolas","family":"Johner","sequence":"first","affiliation":[{"name":"Cardiology Division Geneva University Hospitals Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Namdar","sequence":"additional","affiliation":[{"name":"Cardiology Division Geneva University Hospitals Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6839-2192","authenticated-orcid":false,"given":"Dipen C.","family":"Shah","sequence":"additional","affiliation":[{"name":"Cardiology Division Geneva University Hospitals Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(02)01253-6"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcha.2020.100556"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","unstructured":"N.Johner M.Namdar D. 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