Cardiac ablation technologies

Matthew D Olson, Teerapat Nantsupawat, Neeraj Sathnur, Henri Roukoz

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Since 1985, radiofrequency (RF) technology has grown to become the predominant energy source for performing cardiac ablations of various atrial and ventricular arrhythmias. Although the therapeutic advantages of RF have become widely appreciated, it has been somewhat limited by: (1) thrombo-embolization, (2) inability to reach deep tissue, (3) inadvertent collateral damage to surrounding vascular and electrical structures, and/or (4) inability to assess the electrophysiologic effects prior to induced permanent local tissue damage. Alternative energy sources have been developed to meet the needs for more effective and targeted ablation. Today, cryoablation is the second most common energy source that has received extensive clinical testing and use. Additional energy sources capable of a more volumetric ablation are emerging including high-intensity focused ultrasound energy, light amplification by stimulated emission of radiation energy, and microwave energy. This chapter reviews the associated biophysics, available systems, and clinical utility of each of the energy sources currently available for cardiac ablation therapies.

Original languageEnglish (US)
Title of host publicationEngineering in Medicine
Subtitle of host publicationAdvances and Challenges
PublisherElsevier
Pages83-118
Number of pages36
ISBN (Electronic)9780128130681
ISBN (Print)9780128135143
DOIs
StatePublished - Jan 1 2018

Keywords

  • Cardiac arrhythmia
  • Cryothermal ablation
  • Infrared energy
  • Laser energy
  • Microwave energy
  • Radiofrequency ablation
  • Ultrasound ablation

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  • Cite this

    Olson, M. D., Nantsupawat, T., Sathnur, N., & Roukoz, H. (2018). Cardiac ablation technologies. In Engineering in Medicine: Advances and Challenges (pp. 83-118). Elsevier. https://doi.org/10.1016/B978-0-12-813068-1.00004-X