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4-1.0 mm/s) impedance first rose slightly and then reached a plateau. There was a strong inverse relation between pullback speed and lesion depth. The hottest point was always around the second electrode, creating a kind of hot wake. CONCLUSIONS These findings confirm the close relationship between pullback speed and impedance progress, and suggest that the latter factor could be used to guide the procedure and achieve effective and safe ablations along the inner path of a duct or vessel. Lasers Surg. Med. © 2020 Wiley Periodicals, Inc