Insights into energy delivery to myocardial tissue during radiofrequency ablation through application of the first law of thermodynamics

J Cardiovasc Electrophysiol. 2009 Apr;20(4):461-5. doi: 10.1111/j.1540-8167.2008.01384.x. Epub 2008 Dec 17.

Abstract

The approach to catheter-based radiofrequency ablation of atrial fibrillation has evolved, and as a consequence, more energy is delivered in the posterior left atrium, exposing neighboring tissue to untoward thermal injury. Simultaneously, catheter technology has advanced to allow more efficient energy delivery into the myocardium, which compounds the likelihood of collateral injury. This review focuses on the basic principles of thermodynamics as they apply to energy delivery during radiofrequency ablation. These principles can be used to titrate energy delivery and plan ablative approaches in an effort to minimize complications during the procedure.

Publication types

  • Review

MeSH terms

  • Atrial Fibrillation / surgery*
  • Catheter Ablation / adverse effects
  • Catheter Ablation / instrumentation
  • Catheter Ablation / methods*
  • Equipment Design
  • Equipment Safety
  • Heart Atria / injuries
  • Heart Injuries / etiology
  • Heart Injuries / pathology
  • Heart Injuries / prevention & control*
  • Humans
  • Myocardium / pathology*
  • Thermodynamics*