花瓣结构电极用于脉冲消融下心肌组织消融效果研究

      Simulation Study of Myocardial Tissue Ablation Effects Using Flower Petal-Structured Electrodes in Pulsed Ablation

      • 摘要: 本研究旨在评估花瓣结构电极在脉冲电场消融技术(PFA)中的应用效果,特别是其在心肌组织消融中的表现。通过仿真技术与体外实验相结合,探讨了不同电压、电极与组织接触距离对消融深度、连续性及透壁效果的影响。研究方法包括构建心肌组织仿真模型,使用Comsol Multiphysics进行电场分布仿真,并进行马铃薯组织的体外消融实验。结果表明,随着电压的增加,消融深度显著增加;当电压达到2500 V时,能够实现4 mm的透壁消融深度,且消融区域较为连续。体外实验验证了仿真结果的一致性,且脉冲电场消融未引起显著温升,证实了其非热特性。结论指出,PFA技术具有较低的电极接触要求和较高的消融效率,为临床治疗房颤提供了新的技术路径,能够有效降低传统消融技术的并发症风险。

         

        Abstract: This study aims to evaluate the application of flower petal-structured electrodes in pulsed field ablation (PFA) technology, with a particular focus on their performance in myocardial tissue ablation. Through a combination of simulation techniques and in vitro experiments, the study investigates the effects of different voltage levels, electrode-to-tissue contact distances, and their impact on ablation depth, continuity, and transmurality. The research methodology includes the construction of a myocardial tissue simulation model, the use of Comsol Multiphysics to simulate the electric field distribution, and in vitro ablation experiments using potato tissue. The results indicate that as voltage increases, the ablation depth significantly increases. At a voltage of 2500 V, a transmural ablation depth of 4 mm can be achieved, and the ablation area remains relatively continuous. The in vitro experiments confirmed the consistency of the simulation results, and pulsed field ablation did not induce significant temperature rise, confirming its non-thermal characteristic. The conclusion suggests that PFA technology requires less electrode contact and offers higher ablation efficiency, providing a new technological pathway for the clinical treatment of atrial fibrillation and effectively reducing the risk of complications associated with traditional ablation techniques.

         

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