Abstract: Cryoablation device terminating in a linear ablation element, optionally with a slight curvature along its length. Upon advancing the linear ablation element along a longitudinal axis out of a catheter sheath, an angle selecting connector on the proximal end of the linear ablation element bends to re-orient the linear ablation element to extend radially outward from the longitudinal axis. The linear ablation element is then pressed to a lumenal tissue surface by advancing it along the longitudinal axis, rotating it around the longitudinal axis, and/or bending and/or rotating the sheath itself to reorient the longitudinal axis itself. Control degrees of freedom allow optionally placing the linear ablation element in a more distal position than it emerged from.

Abstract: A cooling frame of a cryoablation catheter has tubing defining at least two extents of cooling tubing each extending between a proximal side and a distal tip of the cooling frame, with a tensioning strut also extending between the proximal side and the distal tip. The tensioning member, in some embodiments, is separately adjustable to press the cooling tubing against a lumenal wall of a body organ targeted for ablation by pressure against an opposite wall. In some embodiments, a loop defined by the cooling tubing is sized to surround all the pulmonary vein ostia of a left atrium, then be chilled by circulation of coolant within the cooling tubing, producing a substantially contiguous loop that electrically isolates the pulmonary vein ostia from the rest of the left atrium.