Percutaneous microwave ablation with a long side-firing antenna array can successfully treat a nonsurgical chronic ovine atrial flutter model

Journal of Cardiovascular Electrophysiology

Volumn 20, Issue 11, 2009, Pages 1255-1261

  Lim, Toon Wei ^a,b   Clout, Ray ^c   Barry, Michael A ^b   Lu, Juntang ^b   Huang, Kaimin ^b   Thomas, Stuart P ^a,b  

^a UNIVERSITY OF SYDNEY   (Australia)

^b WESTMEAD HOSPITAL   (Australia)

^c UNIVERSITY OF TECHNOLOGY SYDNEY   (Australia)

Author keywords

Atrial flutter; Catheter ablation; Cavotricuspid isthmus; Microwaves

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; ARTICLE; CATHETER ABLATION; CAVA VEIN; CHRONIC DISEASE; CONTROLLED STUDY; CORONARY SINUS; HEART ATRIUM FLUTTER; HEART CATHETER; HEART CONDUCTION; HEART RIGHT ATRIUM; MICROWAVE RADIATION; NONHUMAN; PRIORITY JOURNAL; SHEEP; ANIMAL; ATRIAL FLUTTER; DEVICE FAILURE ANALYSIS; DEVICES; ELECTROSURGERY; EQUIPMENT DESIGN; EVALUATION STUDY; HUMAN; THERAPEUTIC USE; TRANSDUCER; TREATMENT OUTCOME;

ANIMALS; ATRIAL FLUTTER; CHRONIC DISEASE; ELECTROSURGERY; EQUIPMENT DESIGN; EQUIPMENT FAILURE ANALYSIS; HUMANS; MICROWAVES; SHEEP; TRANSDUCERS; TREATMENT OUTCOME;

EID: 70350583103     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2009.01545.x     Document Type: Article

References (25)

1. Borggrefe M, Budde T, Podczeck A, Breithardt G : High frequency alternating current ablation of an accessory pathway in humans. J Am Coll Cardiol 1987 10 : 576 582.
2. Nakagawa H, Jackman WM : Catheter ablation of paroxysmal supraventricular tachycardia. Circulation 2007 116 : 2465 2478.
3. McRury ID, Haines DE : Ablation for the treatment of arrhythmias. Proc IEEE 1996 84 : 404 416.
4. Rappaport C : Cardiac tissue ablation with catheter-based microwave heating. Int J Hyperthermia 2004 20 : 769 780.
5. Dorwarth U, Fiek M, Remp T, Reithmann C, Dugas M, Steinbeck G, Hoffmann E : Radiofrequency catheter ablation: Different cooled and noncooled electrode systems induce specific lesion geometries and adverse effects profiles. Pacing Clin Electrophysiol 2003 26 : 1438 1445.
6. Wittkampf FH, Nakagawa H : RF catheter ablation: Lessons on lesions. Pacing Clin Electrophysiol 2006 29 : 1285 1297.
7. Whayne J, Nath S, Haines D : Microwave catheter ablation of myocardium in vitro. Assessment of the characteristics of tissue heating and injury. Circulation 1994 89 : 2390 2395.
8. Knaut M, Tugtekin SM, Jung F, Matschke K : Microwave ablation for the surgical treatment of permanent atrial fibrillation-a single centre experience. Eur J Cardiothorac Surg 2004 26 : 742 746.
9. Knaut M, Spitzer SG, Karolyi L, Ebert HH, Richter P, Tugtekin SM, Schuler S : Intraoperative microwave ablation for curative treatment of atrial fibrillation in open heart surgery-the MICRO-STAF and MICRO-PASS pilot trial. MICROwave application in surgical treatment of atrial fibrillation. MICROwave application for the treatment of atrial fibrillation in bypass-surgery. Thorac Cardiovasc Surg 1999 47 (Suppl 3 379 384.
10. Adragão P, Parreira L, Morgado F, Bonhorst D, Seabra-Gomes R : Microwave ablation of atrial flutter. Pacing Clin Electrophysiol 1999 22 : 1692 1695.
11. Chan JY, Fung JW, Yu CM, Feld GK : Preliminary results with percutaneous transcatheter microwave ablation of typical atrial flutter. J Cardiovasc Electrophysiol 2007 18 : 286 289.
12. Liem LB, Mead RH : Microwave linear ablation of the isthmus between the inferior vena cava and tricuspid annulus. Pacing Clin Electrophysiol 1998 21 : 2079 2086.
13. Iwasa A, Storey J, Yao B, Liem LB, Feld GK : Efficacy of a microwave antenna for ablation of the tricuspid valve-inferior vena cava isthmus in dogs as a treatment for type 1 atrial flutter. J Interv Card Electrophysiol 2004 V10 191 198.
14. Rosenblueth A, Ramos JG : Studies on flutter and fibrillation: II. The influence of artificial obstacles on experimental auricular flutter. Am Heart J 1947 33 : 677 684.
15. Inoue H, Matsuo H, Takayanagi K, Murao S : Clinical and experimental studies of the effects of atrial extrastimulation and rapid pacing on atrial flutter cycle: Evidence of macro-reentry with an excitable gap. Am J Cardiol 1981 48 : 623 631.
16. Frame L, Page R, Hoffman B : Atrial reentry around an anatomic barrier with a partially refractory excitable gap. A canine model of atrial flutter. Circ Res 1986 58 : 495 511.
17. Chiu HM, Mohan AS : Computer aided design of miniaturized antennas for microwave cardiac ablation. In Microwave Conference, 2001. APMC 2001. 2001 Asia-Pacific Microwave Conference, 2001. APMC 2001. 2001 Asia-Pacific Vol. 3, 2001, pp. 1299 1302.
18. Yiu KH, Siu CW, Lau CP, Lee KL, Tse HF : Transvenous catheter-based microwave ablation for atrial flutter. Heart Rhythm 2007 4 : 221 223.
19. Frink RJ, Merrick B : The sheep heart: Coronary and conduction system anatomy with special reference to the presence of an os cordis. Anat Rec 1974 179 : 189 199.
20. Schmidt-Nielsen K. Circulation. In Animal Physiology, Adaptations and Environment, 5th ed. Cambridge : Cambridge University Press, 1997, pp. 91 123.
21. Olgin JE, Kalman JM, Fitzpatrick AP, Lesh MD : Role of right atrial endocardial structures as barriers to conduction during human type I atrial flutter: Activation and entrainment mapping guided by intracardiac echocardiography. Circulation 1995 92 : 1839 1848.
22. Friedman PA, Luria D, Munger TM, Jahangir A, Shen WK, Rea RF, Grice S, Asirvatham S, Packer DL, Hammill SC : Progressive isthmus delay during atrial flutter ablation: The critical importance of isthmus spanning electrodes for distinguishing pseudoblock from block. Pacing Clin Electrophysiol 2002 25 : 308 315.
23. Anselme F, Savoure A, Cribier A, Saoudi N : Catheter ablation of typical atrial flutter: A randomized comparison of 2 methods for determining complete bidirectional isthmus block. Circulation 2001 103 : 1434 1439. (Pubitemid 32220637)
24. Karolyi L, Spitzer SG, Geller L, Kiss O, Laszik A, Sotonyi P, Merkely B : Isthmus ablation with a novel microwave catheter in dogs. Eng Med Biol Mag, IEEE 2005 24 : 45 50.
25. Thavapalachandran S, Barry MA, Lim TW, Byth K, Ross D, Kovoor P, Thiagalingam A : Thermochromic myocardial phantom provides high spatial and temporal resolution of RF ablations. Heart Lung Circ 2008 17 : S7.