Skip to main content
Log in

Diving beneath the surface to maximize ablation lesion size

  • Commentary
  • Published:
Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Cronin EM, Bogun FM, Maury P, Peichl P, Chen M, Namboodiri N, Aguinaga L, Leite LR, Al-Khatib SM, Anter E, et al. 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias. Heart Rhythm. 2020;17:e2–154. https://doi.org/10.1016/j.hrthm.2019.03.002.

    Article  PubMed  Google Scholar 

  2. Barkagan M, Leshem E, Shapira-Daniels A, Sroubek J, Buxton AE, Saffitz JE, Anter E. Histopathological characterization of radiofrequency ablation in ventricular scar tissue. JACC Clin Electrophysiol. 2019;5:920–31. https://doi.org/10.1016/j.jacep.2019.05.011.

    Article  PubMed  Google Scholar 

  3. Yang J, Liang J, Shirai Y, Muser D, Garcia FC, Callans DJ, Marchlinski FE, Santangeli P. Outcomes of simultaneous unipolar radiofrequency catheter ablation for intramural septal ventricular tachycardia in nonischemic cardiomyopathy. Heart Rhythm. 2019;16:863–70. https://doi.org/10.1016/j.hrthm.2018.12.018.

    Article  PubMed  Google Scholar 

  4. Koruth JS, Dukkipati S, Miller MA, Neuzil P, d’Avila A, Reddy VY. Bipolar irrigated radiofrequency ablation: a therapeutic option for refractory intramural atrial and ventricular tachycardia circuits. Heart Rhythm. 2012;9:1932–41. https://doi.org/10.1016/j.hrthm.2012.08.001.

    Article  PubMed  Google Scholar 

  5. Stevenson WG, Tedrow UB, Reddy V, AbdelWahab A, Dukkipati S, John RM, Fujii A, Schaeffer B, Tanigawa S, Elsokkari I, et al. Infusion needle radiofrequency ablation for treatment of refractory ventricular arrhythmias. J Am Coll Cardiol. 2019;73:1413–25. https://doi.org/10.1016/j.jacc.2018.12.070.

    Article  PubMed  Google Scholar 

  6. Barkagan M, Rottmann M, Leshem E, Shen C, Buxton AE, Anter E. Effect of baseline impedance on ablation lesion dimensions: a multimodality concept validation from physics to clinical experience. Circ Arrhythm Electrophysiol. 2018;11: e006690. https://doi.org/10.1161/CIRCEP.118.006690.

    Article  PubMed  Google Scholar 

  7. Tschabrunn CM, Pothineni NVK, Sauer WH, Doynow D, Salas J, Liao TW, Santangeli P, Arkles J, Hyman MC, Frankel DS, et al. Evaluation of radiofrequency ablation irrigation type: in vivo comparison of normal versus half-normal saline lesion characteristics. JACC Clin Electrophysiol. 2020;6:684–92. https://doi.org/10.1016/j.jacep.2020.02.013.

    Article  PubMed  Google Scholar 

  8. Nicolazzi J, Grizzard J, Kasirajan V, Ellenbogen K, Markley R. Left ventricular pseudoaneurysm caused by radiofrequency catheter ablation: from diagnosis to treatment with multimodality imaging. Circ Cardiovasc Imaging. 2021;14: e012820. https://doi.org/10.1161/CIRCIMAGING.121.012820.

    Article  PubMed  Google Scholar 

Download references

Funding

The authors are supported by the Winkelman Family Fund in Cardiovascular Innovation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David S. Frankel.

Ethics declarations

Ethics approval

Not applicable.

Consent to participate

Not applicable.

Conflict of interest

Dr. Tschabrunn receives research and educational grant support from Biosense Webster, Abbott, Baylis Medical, and the National Institutes of Health. Dr. Tschabrunn serves as a consultant to Baylis Medical, Abbott, and ElectroPhysiology Frontiers. Dr. Frankel receives consulting fees from Biosense Webster, Boston Scientific, and Stryker as well as lecture honoraria from Medtronic.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This comment refers to the article available at https://doi.org/10.1007/s10840-022-01276-z

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tschabrunn, C.M., Frankel, D.S. Diving beneath the surface to maximize ablation lesion size. J Interv Card Electrophysiol 66, 133–134 (2023). https://doi.org/10.1007/s10840-022-01320-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10840-022-01320-y

Navigation