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Skip to main page content home • subscriptions • archives • feedback • authors • help • circulation journals home • aha journals home search: go advanced search user name password sign in basic science reports lesion dimensions during temperature-controlled radiofrequency catheter ablation of left ventricular porcine myocardium impact of ablation site, electrode size, and convective cooling helen hã¸gh petersen , md; xu chen , md; adrian pietersen , md; jesper hastrup svendsen , md; stig hauns㸠, md from medical department b, national university hospital, 2100 copenhagen ã˜, denmark. Correspondence to helen hã¸gh petersen, department b 2142, national university hospital, blegdamsvej 9, 2100 copenhagen ã˜, denmark. E-mail hhp{at}dadlnet. Dk â  next section abstract background—it is important to increase lesion size to improve the success rate for radiofrequency ablation of ischemic ventricular tachycardia. viagra cost This study of radiofrequency ablation, with adjustment of power to approach a preset target temperature, ie, temperature-controlled ablation, explores the effect of catheter-tip length, ablation site, and convective cooling on lesion dimensions. usa generic viagra Methods and results—in vitro strips of porcine left ventricular myocardium during different levels of convective cooling and in vivo pig hearts at 2 or 3 left ventricular sites were ablated with 2- to 12-mm-tip catheters. We found increased lesion volume for increased catheter-tip length ≤8 mm in vitro (p<0. viagra canada online 05) and 6 mm in vivo (p<0. buy viagra without prescription 0001), but no further increase was found for longer tips. viagra 50mg dosage For the 4- to 10-mm catheter tips, we found smaller lesion volume in low-flow areas (apex) than in high-flow areas (free wall and septum) (p<0. viagra at walmart price 05). Increasing convective cooling of the catheter tip in vitro increased lesion volume (p<0. 0005) for the 4- and 8-mm tips but not for the 12-mm tip as the generator reached maximum output. In contrast to power-controlled ablation, we found a negative correlation between tip temperature reached and lesion volume for applications in which maximum generator output was not achieved (p<0. viagra 10 mg precio bayer 0001), whereas delivered power and lesion volume correlated positively (p<0. cheap viagra 0001). Conclusions—lesion size differs in different left ventricular target sites, which is probably related to convective cooling, as illustrated in vitro. viagra without a doctor prescription Longer electrode tips increase lesion size for tip lengths ≤6 to 8 mm. For temperature-controlled ablation, the tip temperature achieved is a poor predictor of lesion size. Key words: catheter ablation arrhythmia tachycardia previous section next section introduction catheter ablation of ventricular tachycardias in patients with structural heart disease can permanently cure the tachycardia. generic viagra dosage     Wolf Creek Baptist Church is a Southern Baptist church located just outside of Spring City, Tennessee, in the beautiful Wolf Creek community. 

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