On the prospects of using thermoelectric cooling for the treatment of cardiac arrhythmia
Keywords:
cardiac arrhythmia, atrial fibrillation, cryoablation, thermoelectric coolingAbstract
The paper presents the results of an analysis of various methods of treating cardiac arrhythmia. Among them, special attention is drawn to the ablation method, which boils down to the elimination of additional electrical stimuli of cardiac muscle contraction. The latter is achieved by surgical methods, high-frequency irradiation and cryodestruction with liquid nitrogen or the use of the Joule-Thomson effect. Cryotechniques have certain advantages over others, but their implementation is somewhat more complicated, which limits their clinical use. In recent decades, cooling by the Peltier effect has been increasingly used in medicine. It has proven itself to be simple, reliable and accurate in reproducing the required temperature conditions for treatment. This work is devoted to studying the possibility of using the Peltier effect for cryoablation.
References
1. What Is Arrhythmia? National Heart, Lung, and Blood Institute. July 1, 2011. Archived from the original on March 2, 2015. Retrieved March 7, 2015.
2. Vigano M., Graffinga A., Reissa L. et al. (1996). Surgery for atrial fibrillation. Eur J Cardiothore Surg. 10, 490 – 497.
3. Williams J.M., Ungerleider R.M., Lofland G.K., Cox J.L. (1980). Left atrial isolation: new technique for the treatment of supraventricular arrhythmias. J. Thorac Cardiovasc Surg., 80(3), 373 – 380.
4. Guiraudon G.M., Campbell C.S., Jones D.L. et al. (1985). Combined sinoatrial node atrioventricular isolation: A surgical alternative to His bundle ablation in patients with atrial fibrillation. Circulation, 72, 111 – 220.
5. Cox J.L., Boineau J.P., Schuessler R.B., et al. (1993). Five-year experience with the Maze procedure for atrial fibrillation. Ann Thorac Surg., 56(4), 814 – 823. 79.
6. Cox J.L., Canavan T.E., Schuessler R.B., et al. (1991). The surgical treatment of atrial fibrillation. II. Intraoperative electrophysiologic mapping and description of the electrophysiologic basis of atrial flutter and atrial fibrillation. J Thorac Cardiovasc Surg., 101(3), 406 – 426.
7. Cox J.L., Schuessler R.B., D'Agostino H.J., Jr., et al. (1991). The surgical treatment of atrial fibrillation. III. Development of a definitive surgical procedure. J Thorac Cardiovasc Surg., 101(4), 569 – 583.
8. Ferguson T.V., Sox J.L. (1995). Surgery for atrial fibrillation. Cardiac eleclrophysiology, 2, 1563 – 1576.
9. McCarthy P.M., Gillinov A.M., Castle L., Chung M., Cosgrove D., 3rd. (2000). The Cox-Maze procedure: the Cleveland Clinic experience. Semin Thorac Cardiovasc Surg.,12 (1), 25 – 29.
10. Prasad S.M., Maniar H.S., Camillo C.J., et al. (2003). The Cox maze III procedure for atrial fibrillation: long-term efficacy in patients undergoing single versus concomitant procedures. J. Thorac Cardiovasc Surg., 126 (6), 1822 – 1828.
11. Raanani E., Albage A., David T.E., Yau T.M., Armstrong S. (2001). The efficacy of the Cox/maze procedure combined with mitral valve surgery: a matched control study. Eur J. Cardiothorac Surg., 19(4), 438 – 442.
12. Schaff H.V., Dearani J.A., Daly R.C., Orszulak T.A., Danielson G.K. (2000). CoxMaze procedure for atrial fibrillation: Mayo Clinic experience Semin. Thorac Cardiovasc Surg., 12 (1), 30 – 37.
13. Chen M.C., Quo G.B.F., Chang J.P. et al. (1998). Radiofrequency and cryoablation of atrial fibrillation in patients undergoing valvular operations. Ann Thorac Surg., 65, 1666 – 1672.
14. Schuetz A., Schulze C.J., Sarvanakis K.K., et al. (2003). Surgical treatment of permanent atrial fibrillation using microwave energy ablation: a prospective randomized clinical trial. Eur J Cardiothorac Surg., 24 (4), 475 – 480.
15. Sie H.T., Beukema W.P., Ramdat Misier A.R. et al. (2001). Radiofrequency modified Maze in patients with atrial fibrillation undergoing concomitant cardiac surgery. J Thorac Cardiovasc Surg., 122, 249 – 256.
16. Szalay Z.A., Skwara W., Pitschner H.-F. et al. (1999). Midterm results after the mini-maze procedure. Eur. J. Cardiothorac Surg., 16, 306 – 311.
17. Tang C.W., Scheinman M.M., Van Hare G.F. et al. (1995). Use of P-wave configuration during atrial tachycardia to predict site of origin. J Am Coll Cardiol., 26, 1315 – 1324.
18. Cox J.L., Jaquiss R.D.B., Schuessler R.B., Boineau J.P. (1995). Modification of the Maze procedure for alrial flutter and alrial fibrillation. II. Surgical technique of the Maze III procedure. Thorac Cardiovasc Surg., 110, 485 – 495.
19. Kosakai Y., Kawaguchi A.T., Isobe F. et al. (1994). Cox Maze procedure for chronic atrial fibrillation associated with mitral valve disease. J Thorac Cardiovasc Surg., 108, 1049 – 1055.
20. Handa N., Schaff H.V., Morris J.J. et al. (1999). Outcome of valve repair and the Cox Maze procedure for mitral regurgitation and associated atrial fibrillation. J Thorac Cardiovasc Surg., 118 (4), 626 – 635.
21. Jourda F., Providencia R., Marijon E., et al. (2015). Contact-force guided radiofrequency vs. second-generation balloon cryotherapy for pulmonary vein isolation in patients with paroxysmal atrial fibrillation - a prospective evaluation. Europace, 17, 225 – 31.
22. Mack M., et al. (2005). Surgical treatment of atrial fibrillation using argonbased cryoablation during concomitant cardiac procedures. Circulation, 112, 11 – 16.
23. Lustgarten D., Keane D., Ruskin J. (1999). Cryothermal ablation: mechanism of tissue injury and current experience in the treatment of tachyarrhythmias. Prog Cardiovasc, 41, 481 – 498.
24. Cox J.L. (2000). Cryoablation is an effective choice. Seminars J Thorac Cardiovasc Surg. 12, 15 – 19.
25. Hebeler R.F. (2004). Surgical treatment of atrial fibrillation. San Antonio, 260.
26. Benussi S. (2004). Treatment of atrial fibrillation. J Cardiothoracic Surg, 26, 539 – 541.
27. Moskalik I.A., Manik O.M. (2013). About the development of thermoelectric cooling in the practice of cryodestruction. J.Thermoelectricity, 6, 84 – 92.
28. Anatychuk L.I. (2003). Termoelektrichestvo. T. 2. Termoelektricheskiie preobrazovatelu energii [Thermoelectricity. Vol. 2. Thermoelectric energy converters]. Kyiv, Chernivtsi: Naukova Dumka.
29. Vishal N. Shah, Oleg I. Orlov, Cinthia Orlov, Manabu Takebe, Matthew Thomas, and Konstadinos Plestis. Combined cryo-maze procedure and mitral valve repair through a ministernotomy. Multimed Man Cardiothorac Surg. 2018. doi: 10.1510/mmcts.2018.022.
30. Yiu W., Basco M.T., Aruny J.E., Sumpio B.E. (2007). Cryosurgery:A review. Int J Angiol; 16 (1):1 – 6. 19.
31. How can temperature help in the fight against cancer [Electronic resource] // Oncology clinic
“K-test” – Retrieved from: https://www.k-test.ru/index.php?rid=4.
32. Cox James L. (2001). Intraoperative options for treating atrial fibrillation associated with mitral valve disease. The Journal of Thoracic and Cardiovascular Surgery, 122 (2), 212 – 215.
33. Thomas S.P., Wallace E.M., Ross D.L. (2000). The effect of a residual isthmus of surviving tissue on conduction after linear ablation in atrial myocardium. J Intervent Card Electrophysiol, 4, 273 – 281.
34. Tse H.-F., Ripley K.L., Lee K.L.E., C.-W., Van Vleet J.F., Pelkey W.L., Lau C.P. (2005). Effects of temporal application parameters on lesion dimensions during transvenous catheter cryoablation. J Cardiovasc Electrophysiol, 16, 201 – 204.
35. Wadhwa M.K., Rahme M.M., Dobak J., Li P., Wolf P., Chen P., Feld G.K. (2000). Transcatheter cryoablation of ventricular myocardium in dogs. J Intervent Card Electrophysiol, 4, 537 – 545.
36. Reek S., Geller J.C., Schildhaus H.-U., Ripley K.L., Klein H.U. (2004). Feasibility of catheter cryoablation in normal ventricular myocardium and healed myocardial infarction. PACE, 27, 1530 – 1539.
37. Becker A.E. (2004). Left atrial isthmus: anatomic aspects relevant for linear catheter ablation procedures in humans. Journal of Cardiovascular Electrophysiology, 15 (7),809 – 12.
38. Cox J.L., Boineau J.P., Schuessler R.B., Jaquiss R.D., Lappas D.G. (1995). Modification of the maze procedure for atrial flutter and atrial fibrillation. I. Rationale and surgical results. J Thorac Cardiovasc Surg, 110, 473 – 484.
39. Kosakai Y. (2000). How I perform the maze procedure. Operative techniques in Thoracic and Cardiovascular Surgery, 5, 23 – 45.
