Methods and apparatus for delivering precise amounts of fluid under
pressure into cardiac tissue for the purpose of facilitating ablation of
the tissue along a desired lesion line. One method injects fluid under
pressure through a discharge orifice in a needle-less injection device.
The injected fluid can be a cytotoxic fluid and/or a highly conductive
fluid injected in conjunction with radio frequency ablation to create an
ablative virtual electrode. The injected fluid can provide deeper and
narrower conduction paths and resulting lesions. Radio frequency ablation
can be performed at the same time as the fluid injection, using the
injection device as an electrode, or subsequent to the fluid injection,
using a separate device. In some methods, the injected fluid is a
protective fluid, injected to protect tissue adjacent to the desired
lesion line. Fluid delivery can be endocardial, epicardial, and
epicardial on a beating heart. The present methods find one use in
performing maze procedures to treat atrial fibrillation.