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作者:

Cheng, Yanyan (Cheng, Yanyan.) | Liu, Hongxing (Liu, Hongxing.) | Tian, Zhen (Tian, Zhen.) | Zhang, Meng (Zhang, Meng.) | Liu, Youjun (Liu, Youjun.) (学者:刘有军) | Nan, Qun (Nan, Qun.)

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SCIE

摘要:

Objective Renal sympathetic denervation (RDN) is an alternative treatment for resistant hypertension (RH). This study aims to compare ablation effects using three radiofrequency applicators (i.e., balloon-based four electrodes, spiral and monopolar devices). Methods An idealized three-dimensional model of the renal artery was established using COMSOL Multiphysics to mimic radiofrequency ablation (RFA). Radiofrequency (RF) energy was delivered to the tissue at the same simulation settings, i.e., 4, 6, and 8 W for 60 s, using the three abovementioned RF applicators. The temperature distribution in the tissue was calculated using the coupled electrical-thermal-fluid finite element method. Lesion borders were defined using 50 degrees C isotherms. The maximum lesion depth, width, area, and circumferential coverage rate were compared among the three applicators at a blood flow of 0.4 m/s. Monopolar RF ablations in a renal artery phantom model were performed to validate the reliability of the simulation method. Results The balloon-based system yields greater lesion depths and widths compared with spiral and monopolar denervation under the same power. The range of maximum lesion depth is 1.58-3.11 mm for balloon-based RDN, 0.90-1.81 mm for spiral RDN and 1.12-2.38 mm for monopolar RDN, at a power of 4-8 W. The corresponding ranges of maximum lesion width are 2.22-5.73, 1.48-3.54, and 1.93-5.31 mm, respectively, and the circumferential coverage rates of the renal artery are 41.43%-91.99%, 31.71%-66.23%, and 9.55%-23.06%, respectively. The average velocity after balloon-based, spiral, and monopolar RDN increases by 3, 5, and 1 cm/s, respectively. The validation of the computer model offered prediction errors are <5% in terms of temperature at different locations (i.e., 2, 4, and 8 mm). Conclusions In terms of lesion size, balloon-based RDN appears to be the best option for the treatment of RH. However, the change in flow velocity in the arterial flow field suggests that its hemodynamic changes must be prioritized for investigating its safety. Although spiral catheter ablation yields the smallest lesion size and a significant change in flow velocity in the flow field, its coverage rate is larger than that of monopolar RDN; compared with balloon-based RDN, it did not obstruct most of the blood flow.

关键词:

in vitro experiments numerical simulation radiofrequency electrode renal sympathetic denervation Resistant hypertension

作者机构:

  • [ 1 ] [Cheng, Yanyan]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 2 ] [Liu, Hongxing]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 3 ] [Tian, Zhen]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 4 ] [Zhang, Meng]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 5 ] [Liu, Youjun]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 6 ] [Nan, Qun]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China

通讯作者信息:

  • [Nan, Qun]Beijing Univ Technol, Fac Environm & Life, Beijing Int Sci & Technol Cooperat Base Intellige, Beijing 100124, Peoples R China

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来源 :

INTERNATIONAL JOURNAL OF HYPERTHERMIA

ISSN: 0265-6736

年份: 2021

期: 1

卷: 38

页码: 1251-1262

3 . 1 0 0

JCR@2022

ESI学科: CLINICAL MEDICINE;

ESI高被引阀值:7

被引次数:

WoS核心集被引频次: 4

SCOPUS被引频次: 3

ESI高被引论文在榜: 0 展开所有

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中文被引频次:

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