Impact of electrode tip shape on catheter performance in cardiac radiofrequency ablation

The role of catheter tip shape on the safety and efficacy of radiofrequency (RF) ablation has been overlooked, although differences have been observed in clinical and research fields. The purpose of this study was to analyze the role of electrode tip shape in RF ablation using a computational model....

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Detalles Bibliográficos
Autores: Petras, Argyrios, Moreno Weidmann, Zoraida|||0000-0003-1071-4077, Echeverría Ferrero, Marina, Leoni, Massimiliano, Guerra Ramos, José María|||0000-0001-5397-9177, Gerardo-Giorda, Luca
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:270756
Acceso en línea:https://ddd.uab.cat/record/270756
https://dx.doi.org/urn:doi:10.1016/j.hroo.2022.07.014
Access Level:acceso abierto
Palabra clave:Cardiac ablation
Computational modeling and simulation
Electrode tip
Lesion science
Open irrigation
Radiofrequency
Steam pop
Descripción
Sumario:The role of catheter tip shape on the safety and efficacy of radiofrequency (RF) ablation has been overlooked, although differences have been observed in clinical and research fields. The purpose of this study was to analyze the role of electrode tip shape in RF ablation using a computational model. We simulated 108 RF ablations through a realistic 3-dimensional computational model considering 2 clinically used, open-irrigated catheters (spherical and cylindrical tip), varying contact force (CF), blood flow, and irrigation. Lesions are defined by the 50°C isotherm contour and evaluated by means of width, depth, depth at maximum width, and volume. Ablations are deemed as safe, critical (tissue temperature.