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Current Directions in the Auricular Vagus Nerve Stimulation II - An Engineering Perspective.

作者信息

Kaniusas Eugenijus, Kampusch Stefan, Tittgemeyer Marc, Panetsos Fivos, Gines Raquel Fernandez, Papa Michele, Kiss Attila, Podesser Bruno, Cassara Antonino Mario, Tanghe Emmeric, Samoudi Amine Mohammed, Tarnaud Thomas, Joseph Wout, Marozas Vaidotas, Lukosevicius Arunas, Ištuk Niko, Lechner Sarah, Klonowski Wlodzimierz, Varoneckas Giedrius, Széles Jozsef Constantin, Šarolić Antonio

机构信息

Institute of Electrodynamics, Microwave and Circuit Engineering, Vienna University of Technology, Vienna, Austria.

SzeleSTIM GmbH, Vienna, Austria.

出版信息

Front Neurosci. 2019 Jul 24;13:772. doi: 10.3389/fnins.2019.00772. eCollection 2019.


DOI:10.3389/fnins.2019.00772
PMID:31396044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6667675/
Abstract

Electrical stimulation of the auricular vagus nerve (aVNS) is an emerging electroceutical technology in the field of bioelectronic medicine with applications in therapy. Artificial modulation of the afferent vagus nerve - a powerful entrance to the brain - affects a large number of physiological processes implicating interactions between the brain and body. Engineering aspects of aVNS determine its efficiency in application. The relevant safety and regulatory issues need to be appropriately addressed. In particular, modeling acts as a tool for aVNS optimization. The evolution of personalized electroceuticals using novel architectures of the closed-loop aVNS paradigms with biofeedback can be expected to optimally meet therapy needs. For the first time, two international workshops on aVNS have been held in Warsaw and Vienna in 2017 within the scope of EU COST Action "European network for innovative uses of EMFs in biomedical applications (BM1309)." Both workshops focused critically on the driving physiological mechanisms of aVNS, its experimental and clinical studies in animals and humans, aVNS studies, technological advancements, and regulatory barriers. The results of the workshops are covered in two reviews, covering physiological and engineering aspects. The present review summarizes on engineering aspects - a discussion of physiological aspects is provided by our accompanying article (Kaniusas et al., 2019). Both reviews build a reasonable bridge from the rationale of aVNS as a therapeutic tool to current research lines, all of them being highly relevant for the promising aVNS technology to reach the patient.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/43dcb40516a7/fnins-13-00772-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/ba70e0b8766b/fnins-13-00772-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/b5807487bdd2/fnins-13-00772-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/75839590c5c3/fnins-13-00772-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/e7d0059ecfb7/fnins-13-00772-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/43dcb40516a7/fnins-13-00772-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/ba70e0b8766b/fnins-13-00772-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/b5807487bdd2/fnins-13-00772-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/75839590c5c3/fnins-13-00772-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/e7d0059ecfb7/fnins-13-00772-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af86/6667675/43dcb40516a7/fnins-13-00772-g005.jpg

相似文献

[1]
Current Directions in the Auricular Vagus Nerve Stimulation II - An Engineering Perspective.

Front Neurosci. 2019-7-24

[2]
Current Directions in the Auricular Vagus Nerve Stimulation I - A Physiological Perspective.

Front Neurosci. 2019-8-9

[3]
Auricular vagus nerve stimulator for closed-loop biofeedback-based operation.

Analog Integr Circuits Signal Process. 2022

[4]
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[5]
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J Neural Eng. 2022-8-12

[6]
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Front Hum Neurosci. 2019-12-12

[7]
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Front Neurosci. 2021-4-30

[8]
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[9]
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[10]
[Clinical efficacy of auricular vagus nerve stimulation in the treatment of chronic and acute pain : A systematic review].

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引用本文的文献

[1]
Acute effect of transcutaneous auricular vagus nerve stimulation on cardiac vagal activity in men living with HIV: A proof-of-concept clinical trial.

PLoS One. 2025-8-19

[2]
Effects of auriculotherapy on urinary incontinence in men with prostate cancer: a randomized controlled trial.

BMC Complement Med Ther. 2025-7-3

[3]
Investigation of the Effectiveness of Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) and Vestibular Rehabilitation in Patients with Unilateral Vestibular Hypofunction.

Medicina (Kaunas). 2025-5-9

[4]
Transcutaneous Auricular Vagus Nerve Stimulation Reduces Inflammatory Biomarkers and May Improve Outcomes after Large Vessel Occlusion Strokes: Results of the Randomized Clinical Trial NUVISTA.

medRxiv. 2025-3-7

[5]
Transcutaneous Vagus Nerve Stimulation Effects on Flavor-Evoked Electroencephalogram and Eye-Blink Rate.

Brain Behav. 2025-3

[6]
Personalized auricular vagus nerve stimulation: beat-to-beat deceleration dominates in systole-gated stimulation during inspiration - a pilot study.

Front Physiol. 2025-1-6

[7]
Transcutaneous auricular vagus nerve stimulation as a potential therapy for attention deficit hyperactivity disorder: modulation of the noradrenergic pathway in the prefrontal lobe.

Front Neurosci. 2024-12-4

[8]
Vagus nerve electrical stimulation in the recovery of upper limb motor functional impairment after ischemic stroke.

Cogn Neurodyn. 2024-10

[9]
Low-frequency auricular vagus nerve stimulation facilitates cerebrospinal fluid influx by promoting vasomotion.

Korean J Physiol Pharmacol. 2025-1-1

[10]
Multi-level exploration of auricular acupuncture: from traditional Chinese medicine theory to modern medical application.

Front Neurosci. 2024-9-23

本文引用的文献

[1]
Current Directions in the Auricular Vagus Nerve Stimulation I - A Physiological Perspective.

Front Neurosci. 2019-8-9

[2]
Cardiovascular autonomic effects of transcutaneous auricular nerve stimulation via the tragus in the rat involve spinal cervical sensory afferent pathways.

Brain Stimul. 2019-5-6

[3]
The influence of respiration on brainstem and cardiovagal response to auricular vagus nerve stimulation: A multimodal ultrahigh-field (7T) fMRI study.

Brain Stimul. 2019-2-10

[4]
Recent advances in devices for vagus nerve stimulation.

Expert Rev Med Devices. 2018-8-17

[5]
Anatomo-Physiologic Basis for Auricular Stimulation.

Med Acupunct. 2018-6-1

[6]
Tragus or cymba conchae? Investigating the anatomical foundation of transcutaneous auricular vagus nerve stimulation (taVNS).

Brain Stimul. 2018

[7]
A Review on the Nonlinear Dynamical System Analysis of Electrocardiogram Signal.

J Healthc Eng. 2018-5-2

[8]
Short trains of transcutaneous auricular vagus nerve stimulation (taVNS) have parameter-specific effects on heart rate.

Brain Stimul. 2018-4-6

[9]
Transcutaneous nerve stimulation via the tragus: are we really stimulating the vagus nerve?

Brain Stimul. 2018

[10]
Dependence of excitability indices on membrane channel dynamics, myelin impedance, electrode location and stimulus waveforms in myelinated and unmyelinated fibre models.

Med Biol Eng Comput. 2018-2-24

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