Abstract
During the past decade, radiofrequency catheter ablation has emerged as an important definitive approach to the treatment of most types of ventricular and supraventricular arrhythmias.1,2 The development of temperature monitoring and closed loop temperature control of RF energy output was subsequently shown to facilitate RF catheter ablation and have been accepted into routine clinical practice.3,4 Despite the remarkable safety and efficacy of RF catheter ablation as used in routine clinical practice, certain types of arrhythmias proved to be more refractory to attempts at catheter ablation. Most notable among these were atrial fibrillation, atrial flutter, and nonidiopathic ventricular tachycardia. For these arrhythmias, new tools to facilitate ablation of these arrhythmias were deemed necessary. Linear catheter ablation systems and ablation systems designed specifically to facilitate catheter ablation in the region of the pulmonary veins are being developed for atrial fibrillation.5,6 In contrast, it was felt that ablation systems capable of creating deeper lesions were required to improve the efficacy of catheter ablation of atrial flutter as well as nonidiopathic VT. Cooling the tip of the ablation catheter was subsequently proposed as a potential solution to develop larger and deeper lesions during RF application.7,8
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© 2001 Springer Science+Business Media Dordrecht
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Juang, G.J., Atiga, W.L., Berger, R.D., Calkins, H. (2001). Cooled Radiofrequency Catheter Ablation. In: Liem, L.B., Downar, E. (eds) Progress in Catheter Ablation. Developments in Cardiovascular Medicine, vol 241. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-9791-3_19
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DOI: https://doi.org/10.1007/978-94-015-9791-3_19
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