Thermal distribution of microwave antenna for atrial fibrillation catheter ablation

摘要

Purpose: The aim of this study is to investigate the effects of ablation parameters on thermal distribution during microwave atrial fibrillation catheter ablation, such as ablation time, ablation power, blood condition and antenna placement, and give proper ablative parameters to realise transmural ablation. Materials and methods: In this paper, simplified 3D antenna-myocardium-blood finite element method models were built to simulate the endocardial ablation operation. Thermal distribution was obtained based on the coupled electromagnetic-thermal analysis. Under different antenna placement conditions and different microwave power inputs within 60?s, the lesion dimensions (maximum depth, maximum width) of the ablation zones were analysed. Results: The ablation width and depth increased with the ablation time. The increase rate significantly slowed down after 10?s. The maximum temperature was located in 1?mm under the antenna tip when perpendicular to the endocardium, while 1.5?mm away from the antenna axis and 26?mm along the antenna (with antenna length about 30?mm) in the myocardium when parallel to the endocardium. The maximum temperature in the ablated area decreased and the effective ablation area (with the temperature raised to 50°C) shifted deeper into the myocardium due to the blood cooling. Conclusion: The research validated that the microwave antenna can provide continuous long and linear lesions for the treatment of atrial fibrillation. The dimensions of the created lesion widths were all larger than those of the depths. It is easy for the microwave antenna to produce transmural lesions for an atrial wall thickness of 2–6?mm by adjusting the applied power and ablation time.