References
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.
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.
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.
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.
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.
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.
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.
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.
Funding
The authors are supported by the Winkelman Family Fund in Cardiovascular Innovation.
Author information
Authors and Affiliations
Corresponding author
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
About this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10840-022-01320-y