A method of ablating tissue in the heart to treat atrial fibrillation
introduces into a selected atrium an energy emitting element. The method
exposes the element to a region of the atrial wall and applies ablating
energy to the element to thermally destroy tissue. The method forms a
convoluted lesion pattern comprising elongated straight lesions and
elongated curvilinear lesions. The lesion pattern directs electrical
impulses within the atrial myocardium along a path that activates the
atrial myocardium while interrupting reentry circuits that, if not
interrupted, would cause fibrillation. The method emulates the surgical
maze procedure, but lends itself to catheter-based procedures that do not
require open heart surgical techniques. A composite structure for
performing the method is formed using a template that displays in planar
view a desired lesion pattern for the tissue. An array of spaced apart
element is laid on the template. Guided by the template, energy emitting
and non-energy emitting zones are formed on the elements. By overlaying
the elements, the composite structure is formed, which can be introduced
into the body to ablate tissue using catheter-based, vascular access
techniques.