Relation between denaturation time measured by optical coherence reflectometry and thermal lesion depth during radiofrequency cardiac ablation: Feasibility numerical study. 2018

Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
Department of Information and Communication Technologies, Universitat Pompeu Fabra, Barcelona, Spain.

Radiofrequency (RF) catheter ablation is a minimally invasive medical procedure used to thermally destroy the focus of cardiac arrhythmias. Novel optical techniques are now being integrated into RF catheters in order to detect the changes in tissue properties. Loss of birefringence due to fiber denaturation at around 70°C is related to changes in accumulated phase retardation and can be measured by polarization-sensitive optical coherence reflectometry (PS-OCR). Since irreversible thermal lesions are produced when the tissue reaches 50°C, our goal was to seek the mathematical relationship between both isotherms. A two-dimensional model based on a coupled electric-thermal problem was built and solved using the finite element method. The model consisted of cardiac tissue, blood, and a non-irrigated electrode with a sensor embedded in its tip to maintain a specific target electrode temperature. Computer simulations were conducted by varying the tissue characteristics. Lesion depth was estimated by the 50°C isotherm, while the denaturation time (TD) was taken as the time at which the 70°C isotherm reached a depth of 0.75 mm (which corresponds to the optical depth reached by PS-OCR technology). A strong correlation (R2  > 0.83) was found between TD and lesion depth and an even stronger correlation (R2  > 0.96) was found between TD and the time required to achieve a specific lesion depth. For instance, the ablation time required to ensure a minimum lesion depth of 3 mm was 1.33 × TD + 3.93 × seconds. The computer results confirmed the strong relationship between denaturation time and lesion depth and suggest that measuring denaturation time by PS-OCR could provide information on the ablation time required to reach a specific lesion depth. Lasers Surg. Med. 50:222-229, 2018. © 2017 Wiley Periodicals, Inc.

UI MeSH Term Description Entries
D008955 Models, Cardiovascular Theoretical representations that simulate the behavior or activity of the cardiovascular system, processes, or phenomena; includes the use of mathematical equations, computers and other electronic equipment. Cardiovascular Model,Cardiovascular Models,Model, Cardiovascular
D001718 Birefringence The property of nonisotropic media, such as crystals, whereby a single incident beam of light traverses the medium as two beams, each plane-polarized, the planes being at right angles to each other. (Cline et al., Dictionary of Visual Science, 4th ed) Birefraction,Double Refraction,Birefractions,Birefringences,Double Refractions,Refraction, Double,Refractions, Double
D003198 Computer Simulation Computer-based representation of physical systems and phenomena such as chemical processes. Computational Modeling,Computational Modelling,Computer Models,In silico Modeling,In silico Models,In silico Simulation,Models, Computer,Computerized Models,Computer Model,Computer Simulations,Computerized Model,In silico Model,Model, Computer,Model, Computerized,Model, In silico,Modeling, Computational,Modeling, In silico,Modelling, Computational,Simulation, Computer,Simulation, In silico,Simulations, Computer
D005240 Feasibility Studies Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project. Feasibility Study,Studies, Feasibility,Study, Feasibility
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001281 Atrial Fibrillation Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation. Auricular Fibrillation,Familial Atrial Fibrillation,Paroxysmal Atrial Fibrillation,Persistent Atrial Fibrillation,Atrial Fibrillation, Familial,Atrial Fibrillation, Paroxysmal,Atrial Fibrillation, Persistent,Atrial Fibrillations,Atrial Fibrillations, Familial,Atrial Fibrillations, Paroxysmal,Atrial Fibrillations, Persistent,Auricular Fibrillations,Familial Atrial Fibrillations,Fibrillation, Atrial,Fibrillation, Auricular,Fibrillation, Familial Atrial,Fibrillation, Paroxysmal Atrial,Fibrillation, Persistent Atrial,Fibrillations, Atrial,Fibrillations, Auricular,Fibrillations, Familial Atrial,Fibrillations, Paroxysmal Atrial,Fibrillations, Persistent Atrial,Paroxysmal Atrial Fibrillations,Persistent Atrial Fibrillations
D017115 Catheter Ablation Removal of tissue with electrical current delivered via electrodes positioned at the distal end of a catheter. Energy sources are commonly direct current (DC-shock) or alternating current at radiofrequencies (usually 750 kHz). The technique is used most often to ablate the AV junction and/or accessory pathways in order to interrupt AV conduction and produce AV block in the treatment of various tachyarrhythmias. Ablation, Transvenous Electric,Catheter Ablation, Electric,Catheter Ablation, Percutaneous,Catheter Ablation, Radiofrequency,Catheter Ablation, Transvenous,Ablation, Catheter,Ablation, Transvenous Electrical,Catheter Ablation, Electrical,Electric Catheter Ablation,Electrical Catheter Ablation,Percutaneous Catheter Ablation,Radiofrequency Catheter Ablation,Transvenous Catheter Ablation,Ablation, Electric Catheter,Ablation, Electrical Catheter,Ablation, Percutaneous Catheter,Ablation, Radiofrequency Catheter,Ablation, Transvenous Catheter,Electric Ablation, Transvenous,Electrical Ablation, Transvenous,Transvenous Electric Ablation,Transvenous Electrical Ablation
D041623 Tomography, Optical Coherence An imaging method using LASERS that is used for mapping subsurface structure. When a reflective site in the sample is at the same optical path length (coherence) as the reference mirror, the detector observes interference fringes. OCT Tomography,Optical Coherence Tomography,Coherence Tomography, Optical,Tomography, OCT

Related Publications

Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
March 2024, Circulation. Arrhythmia and electrophysiology,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
September 2015, Biomedical optics express,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
April 2015, BMC ophthalmology,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
June 2019, Journal of cardiovascular electrophysiology,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
January 1998, Pacing and clinical electrophysiology : PACE,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
January 2022, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
May 2018, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
December 2003, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
October 2001, Journal of biomedical optics,
Ana González-Suárez, and David Herranz, and Enrique Berjano, and Jose L Rubio-Guivernau, and Eduardo Margallo-Balbás
June 2003, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Copied contents to your clipboard!