Abstract
We thank Drs Saul and Haemmerich for their comments regarding our article,1 but we respectfully disagree. Using the open-irrigation electrode in clinical practice in the “temperature control” mode with an adequate irrigation flow rate (17 mL/min at ≤30 W and 30 mL/min at 31 to 50 W) infrequently results in reaching the target electrode temperature (ET, 40°C to 45°C). Therefore, radiofrequency (RF) energy is delivered continuously at the power limit (ie, 30 W). This is essentially “power control.” Thrombus did not occur when the closed-loop electrode was used in the 8 RF applications with ET ≤40°C in high blood flow. However, in low blood flow, thrombus …
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