Irreversible electroporation for catheter-based cardiac ablation: a systematic review of the preclinical experience.
Arrhythmias
Atrial fibrillation
Cardiac ablation
Catheter ablation
Irreversible electroporation
Pulsed electric field
Translational studies
Journal
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
ISSN: 1572-8595
Titre abrégé: J Interv Card Electrophysiol
Pays: Netherlands
ID NLM: 9708966
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
09
03
2019
accepted:
26
05
2019
pubmed:
5
7
2019
medline:
6
2
2020
entrez:
5
7
2019
Statut:
ppublish
Résumé
Irreversible electroporation (IRE) utilizing high voltage pulses is an emerging strategy for catheter-based cardiac ablation with considerable growth in the preclinical arena. A systematic search for articles was performed from three sources (PubMed, EMBASE, and Google Scholar). The primary outcome was the efficacy of tissue ablation with characteristics of lesion formation evaluated by histologic analysis. The secondary outcome was focused on safety and damage to collateral structures. Sixteen studies met inclusion criteria. IRE was most commonly applied to the ventricular myocardium (n = 7/16, 44%) by a LifePak 9 Defibrillator (n = 9/16, 56%), NanoKnife Generator (n = 2/16, 13%), or other custom generators (n = 5/16, 31%). There was significant heterogeneity regarding electroporation protocols. On histological analysis, IRE was successful in creating ablation lesions with variable transmurality depending on the electric pulse parameters and catheter used. Preclinical studies suggest that cardiac tissue ablation using IRE shows promise in delivering efficacious, safe lesions.
Identifiants
pubmed: 31270656
doi: 10.1007/s10840-019-00574-3
pii: 10.1007/s10840-019-00574-3
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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