RELATION BETWEEN THE SIZE OF LESIONS AND ARRHYTHMIAS PRODUCED BY MICROWAVE CATHETER ABLATION WITH A SPECIAL ELECTRODE DEVICE
スポンサーリンク
概要
- 論文の詳細を見る
The purpose of this study was to examine the effects of microwave catheter ablation of ventricular myocardium. Microwave energy with a frequency of 2450 MHz was delivered via a coaxial catheter with an electrode ball tip. Microwave energy was applied to canine isolated left ventricular endocardium in vitro and to 6 anesthetized dogs in vivo at 50 watts for 15-150 sec. Ventricular arrhythmia was not observed during ablation in any of the dogs when microwave energy was applied for less than 45 sec. When the duration of microwave ablation was greater than 45 sec, ventricular premature contractions were observed in all of the dogs. Nonsustained ventricular tachycardia developed when the duration of microwave delivery was greater than 90 sec. After the cessation of ablation, ventricular arrhythmias did not occur and ventricular programmed stimulation did not induce ventricular tachycardia in any of the dogs. Except for ventricular arrhythmia, no declines in the hemodynamic status were observed in any of the 6 dogs. The size of the ablated lesion was significantly greater as the duration of ablation was increased (p<0.05). When ablation lasted for more than 120 sec, the coagulation layer was extended to the epicardium in all 6 dogs. The results of this study suggest that microwave ablation is feasible for the treatment of tachyarrhythmias from deep focus of ventricular myocardium with relatively small proarrhythmic effects.
- 社団法人日本循環器学会の論文
- 1994-02-20
著者
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Ikeda Takanori
Kyorin University Hospital
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YAMAGUCHI Tetsu
Toranomon Hospital
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Ikeda Takanori
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
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Yabuki So
Toho University School Of Medicine Ohashi Hospital Third Department Of Internal Medicine
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Sugi Kaoru
Division Of Cardiovascular Medicine Toho University Ohashi Medica Center
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Ninomiya Kenji
3rd Department of Internal Medicine, Ohashi Hospital, Toho University, School of Medicine
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IKEDA TAKANORI
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine
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SUGI KAORU
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine
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ENJOJI YOSHIHISA
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine
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KASAO MASASHI
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine
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ABE RYOJI
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine
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NINOMIYA KENJI
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine
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YABUKI SO
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine
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YAMAGUCHI TETSU
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine
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YAMAGUCHI Tetsu
3rd. Dep. Int. Ohashi Hosp. Toho University
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Sugi Kaoru
National Sanatorium Kanagawa Hospital
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Yabuki So
Third Department Of Internal Medicine Toho University Ohashi Hospital
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Ninomiya Kenji
3rd Department Of Internal Medicine Ohashi Hospital Toho University School Of Medicine
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Suemoto Yoshinobu
Department Of Cardiology Kawaguchi Municipal Medical Center
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Yabuki Sou
1st Dept. Of Intern. Med. Toho Univ. School Of Med.
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Yabuki So
Third Department Of Internal Medicine
-
Yabuki Sou
Third Department Of Internal Medicine Toho University Ohashi Hospital
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Ninimiya Kenji
Third Department Of Internal Medicine Toho University Ohashi Hospital
-
Yamaguchi Tetsu
The Third Department Of Internal Medicine Ohashi Hospital Toho University School Of Medicine
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Yabuki So
3rd Division Department Of Internal Medicine Toho University Ohashi Hospital
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Enjoji Yoshihisa
Division Of Electrophysiological Lab. Cardiovascular Center Kyoto Katsura Hospital
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Abe Ryoji
3rd Department Of Internal Medicine Ohashi Hospital Toho University School Of Medicine
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Saito Yoshinori
Third Department Of Internal Medicine
-
Yabuki So
The Third Dept. Of Int. Med. Toho Univ. School Of Med. .
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Sato Yuichi
Dept. Of Cardiol. Cedars-sinai Med. Ctr.
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