Bipolar Radiofrequency Catheter Ablation for Ventricular Arrhythmias

A minority of premature ventricular contractions (PVC) and ventricular tachycardias (VT) have an intramural origin, which represents a challenge for conventional radiofrequency ablation. Bipolar ablation has the potential ability to create deeper and more transmural lesions and has been demonstrated...

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Bibliographic Details
Main Authors: Kenzaburo Nakajima, David Zweiker, Michael Spartalis, Donah Zachariah, Luca Limite, Giovanni Peretto, Antonio Frontera, Paolo Della Bella
Format: Article
Language:English
Published: IMR Press 2022-05-01
Series:Reviews in Cardiovascular Medicine
Subjects:
Online Access:https://www.imrpress.com/journal/RCM/23/5/10.31083/j.rcm2305179
Description
Summary:A minority of premature ventricular contractions (PVC) and ventricular tachycardias (VT) have an intramural origin, which represents a challenge for conventional radiofrequency ablation. Bipolar ablation has the potential ability to create deeper and more transmural lesions and has been demonstrated to be optimal treatment in these cases. Bipolar ablation carries a relatively low risk of complications and is effective in eliminating or reducing the burden of ventricular arrhythmias. Despite its utility and efficacy, the clinical use of bipolar ablation is limited, and B-RF technology is still investigational and not widely available. This article reviews the technique of bipolar ablation and all its advantages when applied to specific scenarios.
ISSN:1530-6550