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使用体外蔬菜模型评估脉冲场消融损伤特征

Evaluation of pulsed field ablation lesion characteristics using an in vitro vegetable model.

作者信息

Steiger Nathaniel A, McClennen Logan, Bilenker Justin, Patino Carlos, Matos Carlos D, Sauer Katherine M, Hoyas Carolina, Tedrow Usha B, Zei Paul C, Romero Jorge E, Sauer William H

机构信息

Cardiac Arrhythmia Service, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

出版信息

J Interv Card Electrophysiol. 2024 Aug 18. doi: 10.1007/s10840-024-01906-8.

DOI:10.1007/s10840-024-01906-8
PMID:39155351
Abstract

BACKGROUND

In vitro models to evaluate cardiac pulsed field ablation (PFA) have not been well established. We sought to create a standardized vegetable model and staining protocol for assessing unipolar PFA using a surface electrode.

METHODS

We exposed potato slabs to unipolar PFA in a saline bath using a 3.5 mm electrode catheter and grounding pad connected to a custom-built high-voltage generator. Lesions were clearly visualized after staining with 2,3,5-triphenyltetrazolium chloride (TTC) using a timed protocol to reveal a necrotic center and a periphery of electroporated cells with intact mitochondria.

RESULTS

Lesion volume increased linearly with increasing voltage and logarithmically with repetitive PFA applications.

CONCLUSION

The findings observed in this vegetable model using a TTC staining protocol are consistent with findings observed with cardiomyocytes.

摘要

背景

用于评估心脏脉冲场消融(PFA)的体外模型尚未得到很好的建立。我们试图创建一种标准化的蔬菜模型和染色方案,以使用表面电极评估单极PFA。

方法

我们使用连接到定制高压发生器的3.5毫米电极导管和接地垫,将土豆切片暴露于盐浴中的单极PFA。使用定时方案用2,3,5-三苯基氯化四氮唑(TTC)染色后,病变清晰可见,以显示坏死中心和线粒体完整的电穿孔细胞外周。

结果

病变体积随电压增加呈线性增加,随重复PFA应用呈对数增加。

结论

使用TTC染色方案在该蔬菜模型中观察到的结果与在心肌细胞中观察到的结果一致。

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本文引用的文献

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Determinants of acute irreversible electroporation lesion characteristics after pulsed field ablation: the role of voltage, contact, and adipose interference.脉冲场消融后急性不可逆电穿孔损伤特征的决定因素:电压、接触和脂肪干扰的作用。
Europace. 2023 Aug 2;25(9). doi: 10.1093/europace/euad257.
2
PV Isolation Using a Spherical Array PFA Catheter: Application Repetition and Lesion Durability (PULSE-EU Study).应用重复和病变持久性的球形电极导管环肺静脉隔离(PULSE-EU 研究)
JACC Clin Electrophysiol. 2023 May;9(5):638-648. doi: 10.1016/j.jacep.2023.01.009. Epub 2023 Feb 3.
3
Plant-based model for the visual evaluation of electroporated area after irreversible electroporation and its comparison to in-vivo animal data.
不可逆电穿孔后电穿孔区域的目视评估的植物模型及其与体内动物数据的比较。
Sci Prog. 2023 Jan-Mar;106(1):368504231156294. doi: 10.1177/00368504231156294.
4
Electroporation Parameters for Human Cardiomyocyte Ablation In Vitro.体外人心脏肌细胞消融的电穿孔参数
J Cardiovasc Dev Dis. 2022 Jul 28;9(8):240. doi: 10.3390/jcdd9080240.
5
Evaluation of electroporated area using 2,3,5-triphenyltetrazolium chloride in a potato model.用电穿孔氯化三苯四氮唑评估马铃薯模型中的电穿孔面积。
Sci Rep. 2021 Oct 14;11(1):20431. doi: 10.1038/s41598-021-99987-2.
6
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Circ Arrhythm Electrophysiol. 2021 Sep;14(9):e010375. doi: 10.1161/CIRCEP.121.010375. Epub 2021 Aug 30.