Hjouj M, Krishnan H, Rubinsky B
The Medical Imaging Department, Faculty of Health Professions Al Quds University, Jerusalem, Palestinian Authority.
Department of Mechanical Engineering, University of California Berkeley, Berkeley CA, USA.
Cryo Letters. 2017 Nov/Dec;38(6):428-433.
BACKGROUND: Catheter based treatment of atrial fibrillation (AFib) involves ablation of groups of cells near the pulmonary vein.
The goal of this study was to evaluate the technological feasability of a new technology for catheter-based ablation for treatment of AFib that combines freezing with electrolysis.
The study was performed on a pH dye stained gel phantom of the pulmonary vein. Freezing was induced with a cryosurgical probe inserted in the vein and electrolysis was delivered through the probe with a DC power supply.
Visual recording of colorimetric changes in pH demonstrate that electrolytic products can propagate through the frozen tissue phantom. For example, a voltage of 9 V and a current of 40 mA delivered through a -15 degree C cryosurgical probe produced an electrolysis impacted rim of over 7 mm width in 2 min.
This early stage experimental work suggests that cryoelectrolysis may have potential for treatment of AFib.
背景:基于导管的心房颤动(AFib)治疗涉及对肺静脉附近细胞群的消融。
本研究的目的是评估一种将冷冻与电解相结合的基于导管消融治疗AFib的新技术的技术可行性。
该研究在肺静脉的pH染料染色凝胶模型上进行。通过插入静脉的冷冻手术探针诱导冷冻,并通过带有直流电源的探针进行电解。
pH比色变化的视觉记录表明,电解产物可在冷冻组织模型中传播。例如,通过-15℃冷冻手术探针施加9V电压和40mA电流,在2分钟内产生了宽度超过7mm的电解影响边缘。
这项早期实验工作表明,冷冻电解可能具有治疗AFib的潜力。