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Author:

Cheng, Yan-Yan (Cheng, Yan-Yan.) | Liu, Hong-Xing (Liu, Hong-Xing.) | Zhang, Meng (Zhang, Meng.) | Liu, You-Jun (Liu, You-Jun.) (Scholars:刘有军) | Nan, Qun (Nan, Qun.)

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CPCI-S EI Scopus

Abstract:

Renal sympathetic denervation (RDN) is an effective approach for uncontrolled hypertension. Although several studies have compared the ablation characteristics at various locations, there is no direct comparative study on the effect of ablation in main and branch renal artery (RAs) and different electrode materials. The study aims to investigate the effect of different electrode materials (copper, gold, and platinum) and positions (proximal, middle, or distal site) on ablation. A 3D patient-specific renal artery model and a unipolar model (470 kHz) were constructed to mimic RDN. Two therapeutic strategies, including main (site 1 and 2) and branch (site 3) ablations were simulated with three electrode materials. The finite element method was used to calculate the coupled electric-thermal-flow field. Maximum lesion depth, width, area, and lesion angle were analyzed. The results showed that the difference in lesion width and depth was no mere than 0.5 mm, and the maximum difference value in lesion area is 0.683 mm(2) among three electrode materials. The lesion angle of proximal site 1 versus middle site 2 was 58.39 degrees and 52.23 degrees, but the difference between distal site 3 and site 1, or site 2 was 29.19 degrees and 35.35 degrees respectively. There is no significant difference in the use of the three electrode materials, and ablation at the distal site of the artery is more effective.

Keyword:

branch RDN resistant hypertension thermodynamic analysis main RA ablation Renal sympathetic denervation

Author Community:

  • [ 1 ] [Cheng, Yan-Yan]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 2 ] [Liu, Hong-Xing]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 3 ] [Zhang, Meng]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 4 ] [Liu, You-Jun]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 5 ] [Nan, Qun]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China

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Source :

2021 43RD ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE & BIOLOGY SOCIETY (EMBC)

ISSN: 1557-170X

Year: 2021

Page: 4289-4292

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count: 1

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 3

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