Bipolar ablation of ventricular arrhythmias: Step‐by‐step

Author:

Futyma Piotr12ORCID,Chen Shaojie3ORCID,Enriquez Andres4ORCID,Pürerfellner Helmut5,Santangeli Pasquale6ORCID

Affiliation:

1. St. Joseph's Heart Rhythm Center Rzeszów Poland

2. Medical College University of Rzeszów Rzeszów Poland

3. Department Kardiologe, Markus Krankenhaus Cardioangiologisches Centrum Bethanien Frankfurt am Main Germany

4. Kingston Health Science Centre Queen's University Kingston Ontario Canada

5. Ordensklinikum Linz Elisabethinen Linz Austria

6. Section of Cardiac Pacing and Electrophysiology Heart and Vascular Institute, Cleveland Clinic Foundation Cleveland Ohio USA

Abstract

AbstractRadiofrequency (RF) ablation of intramural ventricular arrhythmias (VAs) may require advanced ablation techniques to achieve effective energy transfer to the targeted tissue. As an alternative to standard RF ablation, catheter ablation can also be conducted in bipolar configuration when two ablation catheters participate in the RF circuit. This strategy has proved to result in deeper lesion formation and may be effective for eliminating arrhythmias that have been refractory to standard ablation. In this article, we provide a step‐by‐step guide on when and how to perform bipolar ablation of VAs.

Publisher

Wiley

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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