Cooled intramural needle catheter ablation creates deeper lesions than irrigated tip catheter ablation

PACE - Pacing and Clinical Electrophysiology

Volumn 27, Issue 7, 2004, Pages 965-970

  Thiagalingam, Aravinda ^a   Campbell, Craig R ^a   Boyd, Anita C ^a   Eipper, Vicki E ^a   Ross, David L ^a   Kovoor, Pramesh ^a  

^a WESTMEAD HOSPITAL   (Australia)

Author keywords

Ablation; Arrhythmia; Catheterization; Electrophysiology

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; ARTICLE; BLOOD OXYGENATION; CATHETER; CATHETER ABLATION; COOLED INTRAMURAL NEEDLE CATHETER ABLATION; DEVICE; ELECTRODE; HEART CATHETERIZATION; HEART INJURY; HEART MUSCLE; HEART PERFUSION; HEART SURGERY; INTERMETHOD COMPARISON; IRRIGATED TIP CATHETER ABLATION; MALE; NONHUMAN; SHEEP; STATISTICAL SIGNIFICANCE; TEMPERATURE MEASUREMENT; TIME;

ANIMALS; CATHETER ABLATION; COLD; EQUIPMENT DESIGN; IRRIGATION; MALE; MYOCARDIUM; SHEEP;

EID: 3242772146     PISSN: 01478389     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1540-8159.2004.00566.x     Document Type: Article

References (17)

1. Littmann L, Svenson RH, Gallagher JJ, et al. Functional role of the epicardium in postinfarction ventricular tachycardia. Circulation 1991; 83:1577-1591.
2. Hogh Petersen H, Chen X, Pietersen A, et al. Lesion dimensions during temperature-controlled radiofrequency catheter ablation of left ventricular porcine myocardium: Impact of ablation site, electrode size, and convective cooling. Circulation 1999; 99:319-325.
3. Haines DE, Watson DD, Verow AF. Electrode radius predicts lesion radius during radiofrequency energy heating. Validation of a proposed thermodynamic model. Circ Res 1990; 67:124-129.
4. Nakagawa H, Yamanashi WS, Pitha JV, et al. Comparison of in vivo tissue temperature profile and lesion geometry for radiofrequency ablation with a saline-irrigated electrode versus temperature control in a canine thigh muscle preparation. Circulation 1995; 91:2264-2273.
5. Ruffy R, Mir AI, Santel DJ, et al. Radiofrequency delivery through a cooled catheter tip allows the creation of larger endomyocardial lesions in the ovine heart. J Cardiovasc Electrophysiol 1995; 6:1089-1096.
6. Ohtake H, Misaki T, Matsunaga Y, et al. Development of a new intraoperative radiofrequency ablation technique using a needle electrode. Ann Thorac Surg 1994; 58:750-753.
7. Thiagalingam A, Campbell CR, Boyd AC, et al. Catheter intramural needle radiofrequency ablation creates deeper lesions than irrigated tip catheter ablation. PACE 2003; 26:1-5.
8. Woo EJ, Tungjitkusolmun S, Cao H, et al. A new catheter design using needle electrode for subendocardial RF ablation of ventricular muscles: Finite element analysis and in vitro experiments. IEEE Trans Biomed Eng 2000; 47:23-31.
9. Lorentzen T. A cooled needle electrode for radiofrequency tissue ablation: Thermodynamic aspects of improved performance compared with conventional needle design. Acad Radiol 1996; 3:556-563.
10. Jais P, Shah DC, Haissaguerre M, et al. Prospective randomized comparison of irrigated-tip versus conventional-tip catheters for ablation of common flutter. Circulation 2000; 101:772-776.
11. Blouin LT, Marcus FI. The effect of electrode design on the efficiency of delivery of radiofrequency energy to cardiac tissue in vitro. PACE 1989; 12:136-143.
12. Sapp J, Cooper J, Sorrel T, et al. Deep radiofrequency lesions can be created with a retractable needle-tipped catheter. PACE 2002; 24:523.
13. Callans DJ, Ren JF, Narula N, et al. Left ventricular catheter ablation using direct, intramural ethanol injection in swine. J Interv Card Electrophysiol 2002; 6:225-231.
14. VanderBrink BA, Gilbride C, Aronovitz MJ, et al. Safety and efficacy of a steerable temperature monitoring microwave catheter system for ventricular myocardial ablation. J Cardiovasc Electrophysiol 2000; 11:305-310.
15. Eick OJ, Gerritse B, Schumacher B. Popping phenomena in temperature-controlled radiofrequency ablation: When and why do they occur? PACE 2000; 23:253-258.
16. Haines D. The biophysics of radiofrequency catheter ablation in the heart: The importance of temperature monitoring. PACE 1993; 16:586-591.
17. Marchlinski FE, Callans DJ, Gottlieb CD, et al. Linear ablation lesions for control of unmappable ventricular tachycardia in patients with ischemic and nonischemic cardiomyopathy. Circulation 2000; 101:1288-1296.