%0 Journal Article
%T Ablation of Right Atrial Flutter in a Sub-Saharan African Country: Experience of Lome (Togo)
%A Soulemane Pessinaba
%A Cl&#233
%A mentine Essaga Essaga
%A Yaovi Mignazonzon Afassinou
%A Komlavi Yayehd
%A Mohamed Kp&#233
%A lafia
%A Leaticia Ingrid Ngayou
%A Wiyaou Dieudonn&#233
%A Kaziga
%A Ekp&#233
%A Togbossi
%A Soodougoua Baragou
%A Findib&#233
%A Damorou
%A Machihude Pio
%J World Journal of Cardiovascular Diseases
%P 322-330
%@ 2164-5337
%D 2025
%I Scientific Research Publishing
%R 10.4236/wjcd.2025.156027
%X <b>Introduction</b><b>:</b> Atrial flutter is the second most common supraventricular rhythm disorder after atrial fibrillation. Radiofrequency ablation is currently the standard treatment for atrial flutter. <b>Objectives:</b> Firstly, to describe the results of radiofrequency ablation of atrial flutter in LomE, and secondly, to quantify the recurrence rate in patients under follow-up. <b>Methodology:</b> A descriptive study was conducted from April 2023 to April 2024. Patients with typical atrial flutter on surface ECG who underwent electrophysiological exploration were included. An 8 mm/8 Fr non-irrigated catheter and an Ibi Saint Jude radiofrequency generator were used for ablation. A three-month follow-up was performed after ablation. <b>Results:</b> Eleven patients were selected, with a mean age of 49.78 &#177; 12.21 years. All patients were male. Palpitations were the main symptom (8/11 patients). Hypertension was the predominant aetiology (8/11). The CHA2D2-VA score was &#8805; 2 in nine cases. An ECG showed flutter in 10 cases and sinus rhythm in one. Rivaroxaban was the most commonly used anticoagulant. Anti-clockwise flutter was the most frequent type identified during electrophysiological examination. The mean procedure duration was 120 &#177; 15 minutes, with return to sinus rhythm observed in all cases. Bidirectional block was found in ten cases. One patient presented with a point haemorrhage postoperatively. During follow-up, one case of recurrence was noted at one month, necessitating a second ablation. After three months of follow-up, no recurrence was observed. <b>Conclusion:</b> radiofrequency ablation of isthmo-dependent flutter is a viable treatment option in Togo. The success rate is good, with very few complications. This technique needs to be developed and popularised in other countries.
%K Atrial Flutter
%K Ablation
%K Radiofrequency
%K Lome
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=143548