共 20 条
Animal studies of epicardial atrial ablation
被引:47
作者:

Schuessler, Richard B.
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA

Lee, Anson M.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA

Melby, Spencer J.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA

Voeller, Rochus K.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA

Gaynor, Sydney L.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA

Sakamoto, Shun-Ichiro
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA

Damiano, Ralph J., Jr.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA
机构:
[1] Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO 63110 USA
来源:
基金:
美国国家卫生研究院;
关键词:
Atrial fibrillation;
Epicardial ablation;
Surgical treatment;
Cox maze procedure;
BIPOLAR RADIOFREQUENCY ENERGY;
BEATING HEART;
MICROWAVE ABLATION;
SURGICAL ABLATION;
FIBRILLATION;
EFFICACY;
WALL;
D O I:
10.1016/j.hrthm.2009.07.028
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
The Cox maze procedure is an effective treatment of atrial fibrillation, with a long-term freedom from recurrence greater than 90%. The original procedure was highly invasive and required cardiopulmonary bypass. Modifications of the procedure that eliminate the need for cardiopulmonary bypass have been proposed, including use of alternative energy sources to replace cut-and-sew lesions with lines of ablation made from the epicardium on the beating heart. This has been challenging because atrial wall muscle thickness is extremely variable, and the muscle can be covered with an epicardial layer of fat. Moreover, the circulating intracavitary blood acts as a potential heat sink, making transmural lesions difficult to obtain. In this report, we summarize the use of nine different unidirectional devices (four radiofrequency, two microwave, two lasers, one cryothermic) for creating continuous transmural lines of ablation from the atrial epicardium in a porcine model. We define a unidirectional device as one in which all the energy is applied by a single transducer on a single heart surface. The maximum penetration of any device was 8.3 mm. All devices except one, the AtriCure Isolator pen, failed to penetrate 2 mm in some nontransmural sections. Future development of unidirectional energy sources should be directed at increasing the maximum depth and the consistency of penetration.
引用
收藏
页码:S41 / S45
页数:5
相关论文
共 20 条
[1]
Thermal-electrical modeling for epicardial atrial radiofrequency ablation
[J].
Berjano, EJ
;
Hornero, F
.
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING,
2004, 51 (08)
:1348-1357

Berjano, EJ
论文数: 0 引用数: 0
h-index: 0
机构: Univ Politecn Valencia, Dept Ingn Elect, Valencia 46022, Spain

Hornero, F
论文数: 0 引用数: 0
h-index: 0
机构: Univ Politecn Valencia, Dept Ingn Elect, Valencia 46022, Spain
[2]
The architecture of the left lateral atrial wall: a particular anatomic region with implications for ablation of atrial fibrillation
[J].
Cabrera, Jose Angel
;
Ho, Siew Yen
;
Climent, Vicente
;
Sanchez-Quintana, Damian
.
EUROPEAN HEART JOURNAL,
2008, 29 (03)
:356-362

Cabrera, Jose Angel
论文数: 0 引用数: 0
h-index: 0
机构:
Unit Europea Madird, Hosp Quiron, Dept Cardiol, Arrrythmias Unit, Madrid, Spain Unit Europea Madird, Hosp Quiron, Dept Cardiol, Arrrythmias Unit, Madrid, Spain

Ho, Siew Yen
论文数: 0 引用数: 0
h-index: 0
机构:
Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London SW3 6LY, England
Royal Brompton & Harefield NHS Trust, London SW3 6LY, England Unit Europea Madird, Hosp Quiron, Dept Cardiol, Arrrythmias Unit, Madrid, Spain

论文数: 引用数:
h-index:
机构:

Sanchez-Quintana, Damian
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Extremadura, Fac Med, Dept Anat Humana, Badajoz, Spain Unit Europea Madird, Hosp Quiron, Dept Cardiol, Arrrythmias Unit, Madrid, Spain
[3]
THE SURGICAL-TREATMENT OF ATRIAL-FIBRILLATION .3. DEVELOPMENT OF A DEFINITIVE SURGICAL-PROCEDURE
[J].
COX, JL
;
SCHUESSLER, RB
;
DAGOSTINO, HJ
;
STONE, CM
;
CHANG, BC
;
CAIN, ME
;
CORR, PB
;
BOINEAU, JP
.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY,
1991, 101 (04)
:569-583

COX, JL
论文数: 0 引用数: 0
h-index: 0
机构:
WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110 WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110

SCHUESSLER, RB
论文数: 0 引用数: 0
h-index: 0
机构:
WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110 WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110

DAGOSTINO, HJ
论文数: 0 引用数: 0
h-index: 0
机构:
WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110 WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110

STONE, CM
论文数: 0 引用数: 0
h-index: 0
机构:
WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110 WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110

CHANG, BC
论文数: 0 引用数: 0
h-index: 0
机构:
WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110 WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110

CAIN, ME
论文数: 0 引用数: 0
h-index: 0
机构:
WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110 WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110

CORR, PB
论文数: 0 引用数: 0
h-index: 0
机构:
WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110 WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110

BOINEAU, JP
论文数: 0 引用数: 0
h-index: 0
机构:
WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110 WASHINGTON UNIV,BARNES HOSP,SCH MED,DEPT MED,DIV CARDIOL,ST LOUIS,MO 63110
[4]
Esophageal perforation during left atrial radiofrequency ablation: Is the risk too high?
[J].
Doll, N
;
Borger, MA
;
Fabricius, A
;
Stephan, S
;
Gummert, J
;
Mohr, FW
;
Hauss, J
;
Kottkamp, H
;
Hindricks, G
.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY,
2003, 125 (04)
:836-842

Doll, N
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany

Borger, MA
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany

Fabricius, A
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany

Stephan, S
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany

Gummert, J
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany

Mohr, FW
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany

Hauss, J
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany

Kottkamp, H
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany

Hindricks, G
论文数: 0 引用数: 0
h-index: 0
机构: Univ Leipzig, Ctr Heart, Clin Heart Surg, D-04289 Leipzig, Germany
[5]
Linear cryoablation of the left atrium versus pulmonary vein cryoisolation in patients with permanent atrial fibrillation and valvular heart disease - Correlation of electroanatomic mapping and long-term clinical results
[J].
Gaita, F
;
Riccardi, R
;
Caponi, D
;
Shah, D
;
Garberoglio, L
;
Vivalda, L
;
Dulio, A
;
Chiecchio, A
;
Manasse, E
;
Gallotti, R
.
CIRCULATION,
2005, 111 (02)
:136-142

Gaita, F
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Riccardi, R
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Caponi, D
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Shah, D
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Garberoglio, L
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Vivalda, L
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Dulio, A
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Chiecchio, A
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Manasse, E
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy

Gallotti, R
论文数: 0 引用数: 0
h-index: 0
机构: Osped Civile, Div Cardiol, Asti, Italy
[6]
Microwave ablation for atrial fibrillation: Dose-response curves in the cardioplegia-arrested and beating heart
[J].
Gaynor, SL
;
Byrd, GD
;
Diodato, MD
;
Ishii, Y
;
Lee, AM
;
Prasad, SM
;
Gopal, J
;
Schuessler, RB
;
Damiano, RJ
.
ANNALS OF THORACIC SURGERY,
2006, 81 (01)
:72-77

Gaynor, SL
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA

Byrd, GD
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA

Diodato, MD
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA

Ishii, Y
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA

Lee, AM
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA

Prasad, SM
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA

Gopal, J
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA

Schuessler, RB
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA

Damiano, RJ
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Div Cardiothorac Surg, Dept Surg, St Louis, MO 63110 USA
[7]
Effect of epicardial fat on ablation performance: A three-energy source comparison
[J].
Hong, Kimberly N.
;
Russo, Mark J.
;
Liberman, Elyse A.
;
Trzebucki, Alex
;
Oz, Mehmet C.
;
Argenziano, Michael
;
Williams, Mathew R.
.
JOURNAL OF CARDIAC SURGERY,
2007, 22 (06)
:521-524

Hong, Kimberly N.
论文数: 0 引用数: 0
h-index: 0
机构:
Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA

Russo, Mark J.
论文数: 0 引用数: 0
h-index: 0
机构:
Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA

Liberman, Elyse A.
论文数: 0 引用数: 0
h-index: 0
机构:
Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA

Trzebucki, Alex
论文数: 0 引用数: 0
h-index: 0
机构:
Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA

Oz, Mehmet C.
论文数: 0 引用数: 0
h-index: 0
机构:
Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA

Argenziano, Michael
论文数: 0 引用数: 0
h-index: 0
机构:
Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA

Williams, Mathew R.
论文数: 0 引用数: 0
h-index: 0
机构:
Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA Columbia Univ Coll Phys & Surg, Dept Surg, Div Cardiothorac Surg, New York, NY 10032 USA
[8]
Evaluation of a novel epicardial atrial fibrillation treatment system
[J].
Kiser, Andy C.
;
Nifong, L. Wiley
;
Raman, Jai
;
Kasirajan, Vigneshwar
;
Campbell, Nigel
;
Chitwood, W. Randolph, Jr.
.
ANNALS OF THORACIC SURGERY,
2008, 85 (01)
:300-304

Kiser, Andy C.
论文数: 0 引用数: 0
h-index: 0
机构: E Carolina Univ, Brody Sch Med, Div Cardiothorac Surg, Pinehurst Surg, Greenville, NC USA

Nifong, L. Wiley
论文数: 0 引用数: 0
h-index: 0
机构: E Carolina Univ, Brody Sch Med, Div Cardiothorac Surg, Pinehurst Surg, Greenville, NC USA

Raman, Jai
论文数: 0 引用数: 0
h-index: 0
机构: E Carolina Univ, Brody Sch Med, Div Cardiothorac Surg, Pinehurst Surg, Greenville, NC USA

Kasirajan, Vigneshwar
论文数: 0 引用数: 0
h-index: 0
机构: E Carolina Univ, Brody Sch Med, Div Cardiothorac Surg, Pinehurst Surg, Greenville, NC USA

Campbell, Nigel
论文数: 0 引用数: 0
h-index: 0
机构: E Carolina Univ, Brody Sch Med, Div Cardiothorac Surg, Pinehurst Surg, Greenville, NC USA

Chitwood, W. Randolph, Jr.
论文数: 0 引用数: 0
h-index: 0
机构: E Carolina Univ, Brody Sch Med, Div Cardiothorac Surg, Pinehurst Surg, Greenville, NC USA
[9]
Surgical ablation devices for atrial fibrillation
[J].
Lall, Shelly C.
;
Damiano, Ralph J., Jr.
.
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY,
2007, 20 (03)
:73-82

Lall, Shelly C.
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Barnes Jewish Hosp, Div Cardiothorac Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Barnes Jewish Hosp, Div Cardiothorac Surg, St Louis, MO 63110 USA

Damiano, Ralph J., Jr.
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Barnes Jewish Hosp, Div Cardiothorac Surg, St Louis, MO 63110 USA Washington Univ, Sch Med, Barnes Jewish Hosp, Div Cardiothorac Surg, St Louis, MO 63110 USA
[10]
Atrial fibrillation propagates through gaps in ablation lines: Implications for ablative treatment of atrial fibrillation
[J].
Melby, Spencer J.
;
Lee, Anson M.
;
Zierer, Andreas
;
Kaiser, Scott P.
;
Livhits, Masha J.
;
Boineau, John P.
;
Schuessler, Richard B.
;
Damiano, Raph J., Jr.
.
HEART RHYTHM,
2008, 5 (09)
:1296-1301

Melby, Spencer J.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, St Louis Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA

Lee, Anson M.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, St Louis Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA

论文数: 引用数:
h-index:
机构:

Kaiser, Scott P.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, St Louis Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA

Livhits, Masha J.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, St Louis Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA

Boineau, John P.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, St Louis Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA

Schuessler, Richard B.
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, St Louis Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA

Damiano, Raph J., Jr.
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, St Louis Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA Washington Univ, St Louis Sch Med, Dept Surg, Div Cardiothorac Surg, St Louis, MO 63110 USA