Mathematical Modeling of Thermal Ablation Treatments in Heart Arrhythmias

A. Amatriain, I. Parra, G. Rubio, E. Valero
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Abstract

Abstract. In this work we develop a model of catheter ablation based on electromagnetic and thermal equations. This model allows the computation of the space and time evolution of temperature in the surroundings of the ablation zone. This result is relevant, as excessive temperature values may cause stream pops or esophageal ulcers. The resulting system of equations is solved using a Chebyshev spectral collocation method. Special attention is paid to the effect of blood perfusion and electrical conductivity, as there is no consensus in the literature concerning the modeling of these terms. In order to obtain the conditions that give rise to safer ablations, a parametric study is performed, where the effect of discharge time, discharge voltage and size of the electrode in the temperature distribution is analysed.
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心律失常热消融治疗的数学模型
摘要在这项工作中,我们建立了一个基于电磁和热方程的导管消融模型。该模型可以计算烧蚀区周围温度的时空变化。这个结果是相关的,因为过高的温度值可能导致流爆裂或食管溃疡。用切比雪夫谱配置法求解得到的方程组。特别注意的是血液灌注和电导率的影响,因为在文献中没有关于这些术语建模的共识。为了获得产生更安全烧蚀的条件,进行了参数化研究,分析了放电时间、放电电压和电极尺寸对温度分布的影响。
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