Systems and methods are provided for applying a high frequency voltage in
the presence of an electrically conductive fluid to create a relatively
low-temperature plasma for ablation of tissue adjacent to, or in contact
with, the plasma. In one embodiment, an electrosurgical probe or catheter
is positioned adjacent the target site so that one or more active
electrode(s) are brought into contact with, or close proximity to, a
target tissue in the presence of electrically conductive fluid. High
frequency voltage is then applied between the active electrode(s) and one
or more return electrode(s) to non-thermally generate a plasma adjacent
to the active electrode(s), and to volumetrically remove or ablate at
least a portion of the target tissue. The high frequency voltage
generates electric fields around the active electrode(s) with sufficient
energy to ionize the conductive fluid adjacent to the active
electrode(s). Within the ionized gas or plasma, free electrons are
accelerated, and electron-atoms collisions liberate more electrons, and
the process cascades until the plasma contains sufficient energy to break
apart the tissue molecules, causing molecular dissociation and ablation
of the target tissue.