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Feasibility of noncontact intracardiac ultrasound ablation and imaging catheter for treatment of atrial fibrillation
Atrial fibrillation (AF) affects 1% of the population and results in a cost of 2.8 billion from hospitalizations alone. Treatments that electrically isolate portions of the atria are clinically effective in curing AF. However, such minimally invasive catheter treatments face difficulties in mechanic...
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Published in: | IEEE transactions on ultrasonics, ferroelectrics, and frequency control ferroelectrics, and frequency control, 2006-12, Vol.53 (12), p.2394-2405 |
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description | Atrial fibrillation (AF) affects 1% of the population and results in a cost of 2.8 billion from hospitalizations alone. Treatments that electrically isolate portions of the atria are clinically effective in curing AF. However, such minimally invasive catheter treatments face difficulties in mechanically positioning the catheter tip and visualizing the anatomy of the region. We propose a noncontact, intracardiac transducer that can ablate tissue and provide rudimentary imaging to guide therapy. Our design consists of a high-power, 20 mm by 2 mm, 128-element, transducer array placed on the side of 7-French catheter. The transducer will be used in imaging mode to locate the atrial wall; then, by focusing at that location, a lesion can be formed. Imaging of previously formed lesions could potentially guide placement of subsequent lesions. Successive rotations of the catheter will potentially enable a contiguous circular lesion to be created around the pulmonary vein. The challenge of intracardiac-sized transducers is achieving high intensities (300-5000 W/cm 2 ) needed to raise the temperature of the tissue above 43degC. In this paper, we demonstrate the feasibility of an intracardiac-sized transducer for treatment of atrial fibrillation. In simulations and proof-of-concept experiments, we show a 37degC temperature rise in the lesion location and demonstrate the possibility of lesion imaging |
doi_str_mv | 10.1109/TUFFC.2006.188 |
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Treatments that electrically isolate portions of the atria are clinically effective in curing AF. However, such minimally invasive catheter treatments face difficulties in mechanically positioning the catheter tip and visualizing the anatomy of the region. We propose a noncontact, intracardiac transducer that can ablate tissue and provide rudimentary imaging to guide therapy. Our design consists of a high-power, 20 mm by 2 mm, 128-element, transducer array placed on the side of 7-French catheter. The transducer will be used in imaging mode to locate the atrial wall; then, by focusing at that location, a lesion can be formed. Imaging of previously formed lesions could potentially guide placement of subsequent lesions. Successive rotations of the catheter will potentially enable a contiguous circular lesion to be created around the pulmonary vein. The challenge of intracardiac-sized transducers is achieving high intensities (300-5000 W/cm 2 ) needed to raise the temperature of the tissue above 43degC. In this paper, we demonstrate the feasibility of an intracardiac-sized transducer for treatment of atrial fibrillation. In simulations and proof-of-concept experiments, we show a 37degC temperature rise in the lesion location and demonstrate the possibility of lesion imaging</description><identifier>ISSN: 0885-3010</identifier><identifier>EISSN: 1525-8955</identifier><identifier>DOI: 10.1109/TUFFC.2006.188</identifier><identifier>PMID: 17186922</identifier><identifier>CODEN: ITUCER</identifier><language>eng</language><publisher>New York, NY: IEEE</publisher><subject>Ablation ; Atrial fibrillation ; Atrial Fibrillation - diagnostic imaging ; Atrial Fibrillation - therapy ; Biological and medical sciences ; Cardiac Catheterization - instrumentation ; Cardiac Catheterization - methods ; Catheters ; Computer-Aided Design ; Costs ; Curing ; Echocardiography - instrumentation ; Echocardiography - methods ; Equipment Design ; Equipment Failure Analysis ; Feasibility ; Feasibility Studies ; Fibrillation ; Humans ; Imaging ; Investigative techniques, diagnostic techniques (general aspects) ; Lesions ; Medical sciences ; Minimally invasive surgery ; Miscellaneous. Technology ; Position (location) ; Reproducibility of Results ; Sensitivity and Specificity ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Temperature ; Transducers ; Ultrasonic imaging ; Ultrasonic investigative techniques ; Ultrasonic Therapy - instrumentation ; Ultrasonic Therapy - methods ; Ultrasonography, Interventional - instrumentation ; Ultrasonography, Interventional - methods ; Visualization</subject><ispartof>IEEE transactions on ultrasonics, ferroelectrics, and frequency control, 2006-12, Vol.53 (12), p.2394-2405</ispartof><rights>2007 INIST-CNRS</rights><rights>Copyright The Institute of Electrical and Electronics Engineers, Inc. (IEEE) 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-c020e295cd65939a0bd7ab69c87c2ffbf9cc36dc35a3548c4775f7a5b9d829243</citedby><cites>FETCH-LOGICAL-c402t-c020e295cd65939a0bd7ab69c87c2ffbf9cc36dc35a3548c4775f7a5b9d829243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://ieeexplore.ieee.org/document/4037276$$EHTML$$P50$$Gieee$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,54796</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18311892$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17186922$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, S.H.</creatorcontrib><creatorcontrib>Scott, G.C.</creatorcontrib><creatorcontrib>Conolly, S.M.</creatorcontrib><creatorcontrib>Narayan, G.</creatorcontrib><creatorcontrib>Liang, D.H.</creatorcontrib><title>Feasibility of noncontact intracardiac ultrasound ablation and imaging catheter for treatment of atrial fibrillation</title><title>IEEE transactions on ultrasonics, ferroelectrics, and frequency control</title><addtitle>T-UFFC</addtitle><addtitle>IEEE Trans Ultrason Ferroelectr Freq Control</addtitle><description>Atrial fibrillation (AF) affects 1% of the population and results in a cost of 2.8 billion from hospitalizations alone. Treatments that electrically isolate portions of the atria are clinically effective in curing AF. However, such minimally invasive catheter treatments face difficulties in mechanically positioning the catheter tip and visualizing the anatomy of the region. We propose a noncontact, intracardiac transducer that can ablate tissue and provide rudimentary imaging to guide therapy. Our design consists of a high-power, 20 mm by 2 mm, 128-element, transducer array placed on the side of 7-French catheter. The transducer will be used in imaging mode to locate the atrial wall; then, by focusing at that location, a lesion can be formed. Imaging of previously formed lesions could potentially guide placement of subsequent lesions. Successive rotations of the catheter will potentially enable a contiguous circular lesion to be created around the pulmonary vein. The challenge of intracardiac-sized transducers is achieving high intensities (300-5000 W/cm 2 ) needed to raise the temperature of the tissue above 43degC. In this paper, we demonstrate the feasibility of an intracardiac-sized transducer for treatment of atrial fibrillation. In simulations and proof-of-concept experiments, we show a 37degC temperature rise in the lesion location and demonstrate the possibility of lesion imaging</description><subject>Ablation</subject><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - diagnostic imaging</subject><subject>Atrial Fibrillation - therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Cardiac Catheterization - methods</subject><subject>Catheters</subject><subject>Computer-Aided Design</subject><subject>Costs</subject><subject>Curing</subject><subject>Echocardiography - instrumentation</subject><subject>Echocardiography - methods</subject><subject>Equipment Design</subject><subject>Equipment Failure Analysis</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Fibrillation</subject><subject>Humans</subject><subject>Imaging</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lesions</subject><subject>Medical sciences</subject><subject>Minimally invasive surgery</subject><subject>Miscellaneous. Technology</subject><subject>Position (location)</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Temperature</subject><subject>Transducers</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonic Therapy - instrumentation</subject><subject>Ultrasonic Therapy - methods</subject><subject>Ultrasonography, Interventional - instrumentation</subject><subject>Ultrasonography, Interventional - methods</subject><subject>Visualization</subject><issn>0885-3010</issn><issn>1525-8955</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNp90U2LFDEQBuAgijuuXr0IEgT11GM-Ol9HGRwVFrzsnkN1Olmz9CRrkj7svzfjDC548BSKPFUk9SL0mpItpcR8ur7Z73dbRojcUq2foA0VTAzaCPEUbYjWYuCEkgv0otY7Qug4GvYcXVBFtTSMbVDbe6hxiktsDzgHnHJyOTVwDcfUCjgocwSH16UXNa9pxjAt0GJOGHoRD3Ab0y120H765gsOueBWPLSDT-04EVqJsOAQpxKXU-dL9CzAUv2r83mJbvZfrnffhqsfX7_vPl8NbiSsDY4w4pkRbpbCcANkmhVM0jitHAthCsY5LmfHBXAxajcqJYICMZlZM8NGfok-nubel_xr9bXZQ6zO91ckn9dqDVFGEjmyLj_8V0rNZF-e6PDdP_AuryX1X1gthVaKU93R9oRcybUWH-x96YsqD5YSe4zN_onNHmOzPbbe8PY8dZ0Ofn7k55w6eH8GUB0soUBysT46zSnV5ujenFz03v-9HglXTEn-G3bIqkg</recordid><startdate>20061201</startdate><enddate>20061201</enddate><creator>Wong, S.H.</creator><creator>Scott, G.C.</creator><creator>Conolly, S.M.</creator><creator>Narayan, G.</creator><creator>Liang, D.H.</creator><general>IEEE</general><general>Institute of Electrical and Electronics Engineers</general><general>The Institute of Electrical and Electronics Engineers, Inc. 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Technology</topic><topic>Position (location)</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Temperature</topic><topic>Transducers</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonic Therapy - instrumentation</topic><topic>Ultrasonic Therapy - methods</topic><topic>Ultrasonography, Interventional - instrumentation</topic><topic>Ultrasonography, Interventional - methods</topic><topic>Visualization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, S.H.</creatorcontrib><creatorcontrib>Scott, G.C.</creatorcontrib><creatorcontrib>Conolly, S.M.</creatorcontrib><creatorcontrib>Narayan, G.</creatorcontrib><creatorcontrib>Liang, D.H.</creatorcontrib><collection>IEEE All-Society Periodicals Package (ASPP) 2005-present</collection><collection>IEEE All-Society Periodicals Package (ASPP) 1998-Present</collection><collection>IEL</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Electronics & Communications Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>MEDLINE - Academic</collection><jtitle>IEEE transactions on ultrasonics, ferroelectrics, and frequency control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, S.H.</au><au>Scott, G.C.</au><au>Conolly, S.M.</au><au>Narayan, G.</au><au>Liang, D.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility of noncontact intracardiac ultrasound ablation and imaging catheter for treatment of atrial fibrillation</atitle><jtitle>IEEE transactions on ultrasonics, ferroelectrics, and frequency control</jtitle><stitle>T-UFFC</stitle><addtitle>IEEE Trans Ultrason Ferroelectr Freq Control</addtitle><date>2006-12-01</date><risdate>2006</risdate><volume>53</volume><issue>12</issue><spage>2394</spage><epage>2405</epage><pages>2394-2405</pages><issn>0885-3010</issn><eissn>1525-8955</eissn><coden>ITUCER</coden><abstract>Atrial fibrillation (AF) affects 1% of the population and results in a cost of 2.8 billion from hospitalizations alone. Treatments that electrically isolate portions of the atria are clinically effective in curing AF. However, such minimally invasive catheter treatments face difficulties in mechanically positioning the catheter tip and visualizing the anatomy of the region. We propose a noncontact, intracardiac transducer that can ablate tissue and provide rudimentary imaging to guide therapy. Our design consists of a high-power, 20 mm by 2 mm, 128-element, transducer array placed on the side of 7-French catheter. The transducer will be used in imaging mode to locate the atrial wall; then, by focusing at that location, a lesion can be formed. Imaging of previously formed lesions could potentially guide placement of subsequent lesions. Successive rotations of the catheter will potentially enable a contiguous circular lesion to be created around the pulmonary vein. The challenge of intracardiac-sized transducers is achieving high intensities (300-5000 W/cm 2 ) needed to raise the temperature of the tissue above 43degC. In this paper, we demonstrate the feasibility of an intracardiac-sized transducer for treatment of atrial fibrillation. In simulations and proof-of-concept experiments, we show a 37degC temperature rise in the lesion location and demonstrate the possibility of lesion imaging</abstract><cop>New York, NY</cop><pub>IEEE</pub><pmid>17186922</pmid><doi>10.1109/TUFFC.2006.188</doi><tpages>12</tpages></addata></record> |
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subjects | Ablation Atrial fibrillation Atrial Fibrillation - diagnostic imaging Atrial Fibrillation - therapy Biological and medical sciences Cardiac Catheterization - instrumentation Cardiac Catheterization - methods Catheters Computer-Aided Design Costs Curing Echocardiography - instrumentation Echocardiography - methods Equipment Design Equipment Failure Analysis Feasibility Feasibility Studies Fibrillation Humans Imaging Investigative techniques, diagnostic techniques (general aspects) Lesions Medical sciences Minimally invasive surgery Miscellaneous. Technology Position (location) Reproducibility of Results Sensitivity and Specificity Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Temperature Transducers Ultrasonic imaging Ultrasonic investigative techniques Ultrasonic Therapy - instrumentation Ultrasonic Therapy - methods Ultrasonography, Interventional - instrumentation Ultrasonography, Interventional - methods Visualization |
title | Feasibility of noncontact intracardiac ultrasound ablation and imaging catheter for treatment of atrial fibrillation |
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