Abstract: A method and device for transmyocardial revascularization using RF energy. A signal probe having a signal electrode is inserted into a myocardium. A return probe having a return electrode is placed on or within the myocardium. RF energy is supplied to the signal electrode, and forms a conductive path to the return electrode. At least one fissure within the myocardium is formed along the conductive path, allowing blood to perfuse within the fissure and revascularize the myocardium. A number of probe and electrode configurations are provided, including the use of multiple probes and electrodes, hollow probes to provide a coring effect, and pressurized fluid-supplying probes.

Abstract: Obstructive material is removed from a stent by modified electrosurgical ablation. A modified electrosurgical device having at least one electrode is positioned within the stent, and current is supplied to the electrode. The electrode is prevented from physically contacting the stent, such as by being situated within a groove on the device. The stent may, but need not be, grounded to the current source. The device may be properly positioned within the stent by using ultrasound transducers, fiber optics, or other means. Additionally, the device may be positioned by including at least two electrodes, and measuring the impedance therebetween, as the impedance will be relatively low when both electrodes are within a conductive stent. Therapeutic fluid may be supplied through the catheter, and energy may be supplied to increase the activity of the fluid.