Abstract

TEJEDA-CAMARGO, Miguel J. et al. Marshall vein alcoholization, fast, useful and effective alternative in the treatment of perimitral atrial flutter. A description of the technique. Rev. Colomb. Cardiol. [online]. 2022, vol.29, n.2, pp.235-239.  Epub May 19, 2022. ISSN 0120-5633.  https://doi.org/10.24875/rccar.m22000130.

The case of a 68-year-old patient with recurrent perimitral atrial flutter to anti-arrhythmic therapy in the follow-up of pulmonary vein ablation due to atrial fibrillation is presented. In our case, arrhythmia control is not achieved despite a usual approach; Endo-epicardial radiofrequency application at the mitral isthmus level. Given the above, it was decided to alcoholize Marshall’s vein; a fast, useful and effective technique in the control of this arrhythmia. Here is a step-by-step guide to familiarize interventional cardiologists with this technique. The patient is in sinus rhythm and without recurrence of the arrhythmia at follow-up.

Keywords : Atrial fibrillation; Atrial tachycardia; Catheter ablation; Epicardial connections; Marshall bundle.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )