Escape mapping to achieve bidirectional block: A case series

Pacing Clin Electrophysiol. 2019 Apr;42(4):470-473. doi: 10.1111/pace.13551. Epub 2018 Nov 26.

Abstract

Escape mapping is a novel technique that can be used to locate sites of persistent conduction and achieve exit block during an atrial fibrillation ablation. This method allows for mapping solely with the ablation catheter in the left atrium by annotating to a catheter in the coronary sinus. We illustrate the utility escape mapping during an atrial fibrillation ablation where entrance block is achieved without exit block. We further expand upon this technique by describing the first reported case of escape mapping being used to achieve bidirectional block during an atrial flutter ablation.

Keywords: ablation; bidirectional block; entrance block; escape mapping; exit block.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atrial Fibrillation / physiopathology*
  • Atrial Fibrillation / surgery*
  • Atrial Flutter / physiopathology*
  • Atrial Flutter / surgery*
  • Catheter Ablation / methods*
  • Coronary Sinus / physiopathology
  • Coronary Sinus / surgery
  • Echocardiography
  • Electrocardiography
  • Epicardial Mapping*
  • Heart Conduction System / physiopathology*
  • Humans
  • Male