Title :
Cardiac ablation via electroporation
Author :
Hong, Jinback ; Stewart, Mark T. ; Cheek, Daniel S. ; Francischelli, David E. ; Kirchhof, Nicole
Author_Institution :
Cardiovascular Div., Medtronic, Inc., Fridley, MN, USA
Abstract :
Thermal-based ablation for the treatment of arrhythmias is known to cause issues (e.g. heat loss due to blood perfusion, mechanical damage of the tissue from excessive heat, etc.) that hamper the success of the treatment. A novel technique termed ldquoelectroporationrdquo is a process that leads to pore formation in cell membranes. These pores may cause cellular death without inducing negative thermal effects. We successfully developed a system, tools, and methodology to operate this new ablation technique. Preliminary in vivo acute animal studies (ovine) suggest distinct lesion morphology. High transmurality success rates also suggest the possibility of applying this new ablation modality to cardiac ablation. A long term study confirming lesion durability is necessary to warrant the successful adoption of this technique.
Keywords :
bioelectric phenomena; biomembrane transport; cardiology; diseases; permeability; surgery; wounds; arrhythmia treatment; cardiac ablation; cell membrane permeability; cell membrane pore formation; cellular death; distinct lesion morphology; electroporation; in vivo acute animal studies; lesion durability; negative thermal effects; thermal-based ablation; transmurality rate; Animals; Catheter Ablation; Computer Simulation; Electrocardiography; Electrophysiology; Electroporation; Equipment Design; Heart; Hot Temperature; Ions; Myocardial Contraction; Pulmonary Veins; Sheep; Temperature; Venae Cavae;
Conference_Titel :
Engineering in Medicine and Biology Society, 2009. EMBC 2009. Annual International Conference of the IEEE
Conference_Location :
Minneapolis, MN
Print_ISBN :
978-1-4244-3296-7
Electronic_ISBN :
1557-170X
DOI :
10.1109/IEMBS.2009.5332816