Journal of Cardiovascular Development and Disease, Volume 12, Issue 8
2025 August - 42 articles
Cover Story: Epicardial radiofrequency ablation is often required when ventricular tachyarrhythmias originate from epicardial or subepicardial substrates that cannot be effectively ablated endocardially. Irrigated-tip catheters are commonly used for such procedures. Unlike endocardial ablation, where the irrigation fluid is mixed with and drained by the bloodstream, the irrigation fluid used in epicardial procedures accumulates within the pericardial space, which causes the sac to expand, requiring manual drainage multiple times throughout the procedure. Our computer simulations show that the accumulation of intrapericardial fluid plays a critical role: While it may offer some thermal protection to adjacent structures, it substantially reduces energy transmission to the myocardium, compromising lesion formation. View this paper - Issues are regarded as officially published after their release is announced to the table of contents alert mailing list .
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