Background: Arrhythmia management is a complex process involving both pharmacological
and non-pharmacological approaches. Radiofrequency ablation is the pillar of nonpharmacological
arrhythmia treatment. Unipolar ablation is considered to be the gold standard in
the treatment of the majority of arrhythmias; however, its efficacy is limited to specific cases. In
particular, the creation of deep or transmural lesions to eliminate intramurally originating arrhythmias
remains inadequate. Bipolar ablation is proposed as an alternative to overcome unipolar ablation
Results: Despite promising results gained from in vitro and animal studies showing that bipolar ablation
is superior in creating transmural lesions, the use of bipolar ablation in daily clinical practice
is limited. Several studies have been published showing that bipolar ablation is effective in the
treatment of clinical arrhythmias after failed unipolar ablation, however, there is inconsistency regarding
the safety of bipolar ablation within the available research papers. According to research
evidence, the most common indications for bipolar ablation use are ventricular originating rhythmic
disorders in patients with structural heart disease resistant to standard radiofrequency ablation.
Conclusion: To allow wider clinical application the efficiency and safety of bipolar ablation need
to be verified in future studies.