RESEARCH ARTICLE
Lumped Element Electrical Model based on Three Resistors for Electrical Impedance in Radiofrequency Cardiac Ablation: Estimations from Analytical Calculations and Clinical Data
Enrique Berjano1, *, Andre d'Avila2
Article Information
Identifiers and Pagination:
Year: 2013Volume: 7
First Page: 62
Last Page: 70
Publisher ID: TOBEJ-7-62
DOI: 10.2174/1874120720130603001
Article History:
Received Date: 5/3/2013Revision Received Date: 26/4/2013
Acceptance Date: 23/5/2013
Electronic publication date: 12/7/2013
Collection year: 2013
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Abstract
The electrical impedance measured during radiofrequency cardiac ablation (RFCA) is widely used in clinical studies to predict the heating evolution and hence the success of the procedure. We hypothesized that a model based on three resistors in series can mimic the total electrical impedance measured during RFCA. The three resistors or impedances are given by: impedance associated with the tissue around the active electrode (myocardium and circulating blood) (Z-A), that associated with the tissue around the dispersive electrode (Z-DE) and that associated with the rest of the body (Z-B). Our objective was to quantify the values associated with these three impedance types by an analytical method, after which the values obtained would be compared to those estimated from clinical data from previous studies. The results suggest that an RFCA using a 7 Fr 4-mm electrode would give a Z-A of around 75 ohms, a Z-DE around 20 ohms, and Z-B would be 15±10 ohms (for body surface area variations between 1.5 and 2.5 m^2). Finally, adaptations of the proposed model were used to explain the results of previous clinical studies using a different electrode arrangement, such as in bipolar ablation of the ventricular septum.