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Updated: Sep 29, 2025

Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation
Published on: August 25, 2022
Will the insulated-tip radiofrequency catheter transform ablation procedures?
Yasuhito Kotake1,2, Juliana Kanawati1,2, Saurabh Kumar1,2
1Department of Cardiology, Westmead Hospital, Westmead, New South Wales, Australia.
Radiofrequency (RF) ablation uses a novel insulated-tip catheter to deliver energy directly to target tissues, minimizing bloodstream dissipation. This innovative approach shows promise for improving RF ablation safety and outcomes.
Area of Science:
- Electrophysiology
- Medical Device Technology
- Catheter Ablation
Background:
- Radiofrequency (RF) ablation is a primary energy source for catheter ablation.
- Conventional RF ablation methods suffer from significant energy loss to the bloodstream.
- This energy dissipation can compromise procedural efficacy and safety.
Discussion:
- A novel insulated-tip catheter developed by Sirona Medical Technologies (SMT) aims to direct RF energy exclusively toward target tissue.
- This targeted energy delivery may enhance the quality and safety of RF ablation procedures.
- Minimizing collateral energy spread could reduce the risk of iatrogenic complications.
Key Insights:
- The SMT catheter demonstrates promising preclinical data for focused RF energy delivery.
- Targeted energy application has the potential to overcome limitations of conventional RF ablation.
- Improved energy efficiency could lead to better patient outcomes.
Outlook:
- Further investigation is required to validate the SMT catheter's performance in human beating heart models.
- Successful translation to clinical practice could refine future RF ablation techniques.
- This technology may offer a safer and more effective alternative for cardiac ablation procedures.
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