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Full torso and limited-domain computer models for epicardial pulsed electric field ablation

Electric Field Models
A González-Suárez, RM Irastorza, S Deane et al.
Computer Methods and Programs in Biomedicine 2022.

This is a fundamental electric field model study aiming to demonstrate the applicability of a model geometry around the treatment zone in an epicardial configuration. This monopolar model showed how the peak electric field strengths are located very close to the catheter electrodes and drop off very rapidly beyond this. The field strength levels in adjacent organs were exceptionally low, verifying the absence of collateral tissue damaged observed in pre-clinical studies.

Pulsed Electric Field Ablation of Epicardial Autonomic Ganglia: Computer Analysis of Monopolar Electric Field across the Tissues Involved

Electric Field Models
A González-Suárez, B O’Brien, M O’Halloran et al
Bioengineering 2022

This electric field modelling study assessed the field strength distribution in the epicardial fat pads (where the ganglionated plexi are located) and the underlying myocardium, when monopolar pulses are applied. The field strength tends to concentrate within the fat layer, with a substantial drop off into the myocardium. This effect further explains the observed selectivity of ganglia ablation when the treatment is performed epicardially.

In Silico Modelling to Assess the Electrical and Thermal Disturbance Provoked by a Metal Intracoronary Stent during Epicardial Pulsed Electric Field Ablation

Electric Field Models
A González-Suárez, J Perez, B O’Brien et al
J. Cardiovasc. Dev. Dis. 2022
The effect of a metallic coronary stent within the applied electric field was modelled in this study. Electrical field distortions and thermal effects were assessed. The presence of a stent causes minor electric field disruption, leading to increased field concentrations at the stent and a resulting localized temperature increase. This increase was insignificant and not at a level that would cause tissue damage or necrosis.