Finite element analyses of uniform current density electrodes for radio-frequency cardiac ablation

The high current density at the edge of a metal electrode causes hot spots, which can lead to charring or blood coagulation formation during radio-frequency (RP) cardiac ablation. We used finite element analysis to predict the current density distribution created by several electrode designs for RF ablation. The numerical results demonstrated that there were hot spots at the edge of the conventional tip electrode and the insulating catheter. By modifying the shape of the edge of the 5-mm tip electrode, we could significantly reduce the high current density at the electrode-insulator interface. We also studied the current density distribution produced by a cylindrically shaped electrode. We modified the shape of a cylindrical electrode by recessing the edge and filled in a coating material so that the overall structure was still cylindrical. We analyzed the effects of depth of recess and the electrical conductivity of the added material. The results show that more uniform current density can be accomplished by recessing the electrode, adding a curvature to the electrode, and by coating the electrode with a resistive material.

[1]  Jonathan W. Valvano,et al.  Thermal conductivity and diffusivity of biomaterials measured with self-heated thermistors , 1985 .

[2]  J. G. Webster,et al.  Analysis and Control of the Current Distribution under Circular Dispersive Electrodes , 1982, IEEE Transactions on Biomedical Engineering.

[3]  J. Webster Encyclopedia of Medical Devices and Instrumentation , 1988 .

[4]  J. Rubinstein,et al.  In vitro measurement and characterization of current density profiles produced by nonrecessed, simple recessed, and radially varying recessed stimulating electrodes , 1991, IEEE Transactions on Biomedical Engineering.

[5]  H. Arkin,et al.  Recent developments in modeling heat transfer in blood perfused tissues , 1994, IEEE Transactions on Biomedical Engineering.

[6]  D. Panescu,et al.  Intraventricular electrogram mapping and radiofrequency cardiac ablation for ventricular tachycardia , 1997, Physiological measurement.

[7]  P. Savard,et al.  A finite element model for radiofrequency ablation of the myocardium , 1994, IEEE Transactions on Biomedical Engineering.

[8]  Willis J. Tompkins,et al.  Design of Microcomputer-Based Medical Instrumentation , 1981 .

[9]  R. Jain,et al.  TEMPERATURE DISTRIBUTIONS IN NORMAL AND NEOPLASTIC TISSUES DURING NORMOTHERMIA AND HYPERTHERMIA * , 1980, Annals of the New York Academy of Sciences.

[10]  John G. Webster,et al.  Using ANSYS for three-dimensional electrical-thermal models for radio-frequency catheter ablation , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).

[11]  K. Foster,et al.  Dielectric properties of tissues and biological materials: a critical review. , 1989, Critical reviews in biomedical engineering.

[12]  D P Zipes,et al.  Radiofrequency catheter ablation of the atria reduces inducibility and duration of atrial fibrillation in dogs. , 1995, Circulation.

[13]  J. G. Webster,et al.  Distributed Equivalent-Circuit Models for Circular Dispersive Electrodes , 1982, IEEE Transactions on Biomedical Engineering.

[14]  D. Panescu,et al.  Three-dimensional finite element analysis of current density and temperature distributions during radio-frequency ablation , 1995, IEEE Transactions on Biomedical Engineering.

[15]  John G. Webster,et al.  Effects of changes in electrical and thermal conductivities on radiofrequency lesion dimensions , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).

[16]  J. Jalife,et al.  Cardiac Electrophysiology: From Cell to Bedside , 1990 .

[17]  Jay T. Rubinstein,et al.  Current Density Profiles of Surface Mounted and Recessed Electrodes for Neural Prostheses , 1987, IEEE Transactions on Biomedical Engineering.

[18]  S. Labonte,et al.  Numerical model for radio-frequency ablation of the endocardium and its experimental validation , 1994, IEEE Transactions on Biomedical Engineering.

[19]  D. A. Ksienski,et al.  A minimum profile uniform current density electrode , 1992, IEEE Transactions on Biomedical Engineering.

[20]  谷下 一夫 新刊「Heat Transfer in Medicine and Biology」 , 1986 .

[21]  D. Panescu,et al.  Nonuniform heating during radiofrequency catheter ablation with long electrodes: monitoring the edge effect. , 1997, Circulation.

[22]  D. Haines,et al.  Cellular Electrophysiological Effects of Hyperthermia on Isolated Guinea Pig Papillary Muscle Implications for Catheter Ablation , 1993, Circulation.

[23]  Alexandra Enders Electronic Devices for Rehabilitation , 1986 .