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摘要:
To investigate the effects of fat layer on the temperature distribution during microwave atrial fibrillation catheter ablation in the conditions of different ablation time; 3D finite element models (fat layer and no fat layer) were built, and temperature distribution was obtained based on coupled electromagnetic-thermal analysis at 2.45GHz and 30W of microwave power. Results shown: in the endocardial ablation, the existence of the fat layer did not affect the shape of the 50 degrees C contour before 30s. The increase speed of depth became quite slowly in the model with fat layer after 30s. When ablation depth needed fixed, there are no significant effect on effectively ablation depth whether fat layer over or not. However, the existence of fat layer makes the temperature lower in the myocardium, and maximum temperature point closer to the myocardium surface. What is more, in the model with fat layer, effective ablation reach lower maximum temperature and the shallower depth of 50 degrees C contour. But there are larger ablation axial length and transverse width. In this case, doctor should ensure safety of normal cardiac tissue around the target tissue. In the epicardial ablation, the existence of fat layer seriously affects result of the microwave ablation. The epicardial ablation needs more heating time to create lesion. But epicardial ablation can be better controlled in the shape of effective ablation area because of the slowly increase of target variables after the appearing of 50 degrees C contour. Doctor can choose endocardial or epicardial ablation in different case of clinic requirement.
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来源 :
ELECTROMAGNETIC BIOLOGY AND MEDICINE
ISSN: 1536-8378
年份: 2016
期: 1
卷: 35
页码: 8-14
1 . 7 0 0
JCR@2022
ESI学科: BIOLOGY & BIOCHEMISTRY;
ESI高被引阀值:238
中科院分区:4
归属院系: