Mathematical Modeling of Epicardial RF Ablation of Atrial Tissue with Overlying Epicardial Fat

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Mathematical Modeling of Epicardial RF Ablation of Atrial Tissue with Overlying Epicardial Fat

The efficacy of treating atrial fibrillation by RF ablation on the epicardial surface is currently under question due to the presence of epicardial adipose tissue interposed between the ablation electrode and target site (atrial wall). The problem is probably caused by the electrical conductivity of the fat (0.02 S/m) being lower than that of the atrial tissue (0.4-0.6 S/m). Since our objective...

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Epicardial Adipose Tissue Thickness and Ablation Outcome of Atrial Fibrillation

OBJECTIVES Epicardial fat was closely related to atrial fibrillation (AF). Transthoracic echocardiography (TTE) has been proposed to be a convenient imaging tool in assessing epicardial adipose tissue (EAT). The goal of the present study was to investigate whether the EAT thickness measured on TTE was a useful parameter in predicting procedural outcomes of AF ablations. METHODS AND RESULTS A ...

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Atrial Fibrillation Ablation by the Epicardial Approach.

Catheter ablation is an effective treatment for atrial fibrillation (AF). However, over long-term follow-up, it is becoming clear that AF often recurs and repeat ablation is required. With the goal of improving efficacy, particularly in those patients with risk factors for poor outcomes using a standard endocardial ablation technique, surgical epicardial ablation has emerged as an alternative m...

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Catheter Ablation of Ventricular Epicardial Tissue

Background—Transthoracic epicardial catheter ablation is an emerging catheter ablation strategy being used clinically at increasing frequency. However, the efficacy of standard RF ablation on the epicardial surface of the heart is hindered by (1) the lack of convective cooling of the ablation electrode and (2) the varying presence of epicardial adipose tissue interposed between the ablation ele...

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Effect of epicardial fat pad ablation on acute atrial electrical remodeling and inducibility of atrial fibrillation.

BACKGROUND Atrial electrical remodeling (AER) is the underlying mechanism of atrial fibrillation (AF). The present study investigated the impact of epicardial fat pad (FP) ablation on acute AER (AAER) and inducibility of AF. METHODS AND RESULTS AAER was performed in 28 mongrel dogs through 4-h rapid atrial pacing (RAP). Before RAP, 14 dogs (ablation group) underwent FP ablation, and the other...

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ژورنال

عنوان ژورنال: The Open Biomedical Engineering Journal

سال: 2010

ISSN: 1874-1207

DOI: 10.2174/1874120701004010047