The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 453-458 , February 2010

Efficacy of a cooled bipolar epicardial radiofrequency ablation probe for creating transmural myocardial lesions

  • Mark A. Wood, MD

      Affiliations

    • Division of Cardiac Electrophysiology, Virginia Commonwealth University Medical Center, Richmond, Va
    • Corresponding Author InformationAddress for reprints: Mark A. Wood, MD, Box 980053, Virginia Commonwealth University Medical Center, Richmond, VA 23298-0053.
    • ,
  • Amy L. Ellenbogen

      Affiliations

    • Division of Cardiac Electrophysiology, Virginia Commonwealth University Medical Center, Richmond, Va
    • ,
  • Vishesh Pathak, BA

      Affiliations

    • Division of Cardiac Electrophysiology, Virginia Commonwealth University Medical Center, Richmond, Va
    • ,
  • Kenneth A. Ellenbogen, MD

      Affiliations

    • Division of Cardiac Electrophysiology, Virginia Commonwealth University Medical Center, Richmond, Va
    • ,
  • Vigneshwar Kasarajan, MD

      Affiliations

    • Department Cardiothoracic Surgery, Virginia Commonwealth University Medical Center, Richmond, Va

Received 23 March 2009 ,Revised 18 May 2009 ,Accepted 4 June 2009.

References 

  1. Edgerton JR, Edgerton ZJ, Weaver T, Reed K, Prince S, Herbert MA, et al. Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation. Ann Thorac Surg. 2008;86:35–39
  2. Wudel JH, Chaudhuri P, Hiller JJ. Video-assisted epicardial ablation and left atrial appendage exclusion for atrial fibrillation: extended follow-up. Ann Thorac Surg. 2008;85:34–38
  3. Lall SC, Damiano RJ. Surgical ablation for atrial fibrillation. J Interv Card Electrophysiol. 2007;20:73–82
  4. Melby SJ, Gaynor SL, Lubahn JG, Lee AM, Rahgozar P, Caruthers SD, et al. Efficacy and safety of right and left atrial ablations on the beating heart with irrigated bipolar radiofrequency energy: a long-term animal study. J Thorac Cardiovasc Surg. 2006;132:853–860
  5. Santiago T, Melo J, Gouveia RH, Neves J, Abecasis M, Adragao P, et al. Epicardial radiofrequency applications: in vitro and in vivo studies on human atrial myocardium. Eur J Cardiothorac Surg. 2003;24:481–486
  6. Prasand SM, Maniar HS, Diodata MD, Schuessler RB, Damiano RJ. Physiologic consequences of bipolar radiofrequency energy on the atria and pulmonary veins: a chronic animal study. Ann Thorac Surg. 2003;76:836–842
  7. Nakagawa H, Yamanashi WS, Pitha JV, Arruda M, Wang X, Ohtomo K, et al. Comparison of in vitro tissue temperature profile and lesion geometry for radiofrequency ablation with a saline-irrigated electrode versus temperature control in a canine thigh muscle preparation. Circulation. 1995;91:2264–2273
  8. Demazumder D, Mirotznik MS, Schwartzman D. Biophysics of radiofrequency ablation using an irrigated electrode. J Interv Card Electrophysiol. 2001;5:377–389
  9. Platonov PG, Ivanov V, Ho SY, Mitrofanova L. Left atrial posterior wall thickness in patients with and without atrial fibrillation: data from 298 consecutive autopsies. J Cardiovasc Electrophysiol. 2008;19:689–692
  10. Cabrera JA, Ho SY, Climent V, Sánchez-Quintana D. The architecture of the left atrial lateral wall: a particular anatomic region with implications for ablation of atrial fibrillation. Eur Heart J. 2008;29:356–362
  11. Wittkampf FH, van Oosterhout MF, Loh P, Derksen R, Vonken EJ, Slootweg PJ, et al. Where to draw the mitral isthmus line in catheter ablation of atrial fibrillation: histological analysis. Eur Heart J. 2005;26:689–695
  12. Bugge E, Nicholson IA, Thomas SP. Comparison of bipolar and unipolar radiofrequency ablation in an in vivo experimental model. Eur J Cardiothorac Surg. 2005;28:76–82

 Disclosures: None.

PII: S0022-5223(09)00936-2

doi: 10.1016/j.jtcvs.2009.06.028

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 453-458 , February 2010

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