期刊
MEDICAL ENGINEERING & PHYSICS
卷 38, 期 5, 页码 458-467出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.medengphy.2016.02.011
关键词
Catheter ablation; Electrode cooling; Electrode temperature; PIV; PVA-H; Myocardium
资金
- JSPS
- Ministry of Education, Science, Sports and Culture [25282140]
- Grants-in-Aid for Scientific Research [25282140] Funding Source: KAKEN
A new electrode cooling system using a vibrating catheter is described for conditions of low blood flow when saline irrigation cannot be used. Vibrations of the catheter are hypothesized to disturb blood flow around the electrode, leading to increased convective cooling of the electrode. The aim of this study is to confirm the cooling effect of vibration and investigate the associated mechanisms. As methods, an in vitro system with polyvinyl alcohol-hydrogel (PVA-H) as ablated tissue and saline flow in an open channel was used to measure changes in electrode and tissue temperatures under vibration of 0-63 Hz and flow velocity of 0-0.1 m/s. Flow around the catheter was observed using particle image velocimetry (PIV). Results show that under conditions of no flow, electrode temperatures decreased with increasing vibration frequency, and in the absence of vibrations, electrode temperatures decreased with increasing flow velocity. In the presence of vibrations, electrode temperatures decreased under conditions of low flow velocity, but not under those of high flow velocity. PIV analyses showed disturbed flow around the vibrating catheter, and flow velocity around the catheter increased with higher-frequency vibrations. In conclusion, catheter vibration facilitated electrode cooling by increasing flow around the catheter, and cooling was proportional to vibration frequency. (C) 2016 IPEM. Published by Elsevier Ltd. All rights reserved.
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