Abstract

The results of this study are a welcome addition to the literature and to the ongoing efforts to develop new ablation techniques and tools that may be of value of increasing the efficacy and also the safety of catheter ablation of AF and VT in patients with structural heart disease. It is striking that simply by using gold for ablation electrode when compared with Pt that a more than 30% increase in lesion depth can be achieved. Perhaps, the only down side to this approach is the small increment in the cost of ablation catheter. But the real question of the day concerns whether the use of goldtipped ablation catheters is likely to improve the outcomes of catheter ablation of standard arrhythmias such as AV nodal re-entrant tachycardia, atrial flutter, idiopathic V, and those involving an acces

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