
pmid: 12716105
Introduction: The success of radiofrequency energy catheter ablation for the treatment of patients with paroxysmal or chronic atrial fibrillation has been complicated by postablation development of pulmonary vein (PV) stenosis. The acute effect of heat on PV structure has not been well characterized. The aim of this study was to characterize the effects of hyperthermic exposure on PVs and to determine the critical temperature at which PV stenosis would be observed. Methods and Results: The main PVs of acutely explanted canine hearts were identified, isolated, and dissected from the left atria. Measurements of the diameter of 3‐mm PV rings were obtained at baseline and after hyperthermic exposure at 60°C, 65°C, 70°C, and 80°C. Mechanical behavior of PVs was studied by examining the stress‐strain relationship of each PV specimen after heat exposure at different temperature settings. Twenty‐eight PVs samples from 15 dogs (1–3 PVs/dog) were obtained and had a mean circumference of 8.7 ± 2.3 mm at baseline. After heating to 60°C, 65°C, 70°C, and 80°C, the mean PV circumference was 9.2 ± 2.3 mm (P = NS vs baseline), 6.8 ± 2.3 mm (P < 0.0001), 4.2 ± 1.5 mm (P < 0.0001) , and 4.2 ± 0.8 mm (P < 0.0001) , respectively. The stress‐strain curves of PV specimens were shifted to the left upon exposure to higher temperatures, indicating loss of compliance of PVs due to heat exposure. Histology showed loss of typical collagen matrix above 60°C. Conclusion: Significant acute heat‐induced contraction of PVs at zero‐tension state was observed between 60°C and 65°C. This change was associated with collagen denaturation. (J Cardiovasc Electrophysiol, Vol. 14, pp. 250‐254, March 2003)
Dogs, Hot Temperature, Pulmonary Veins, Atrial Fibrillation, Chronic Disease, Catheter Ablation, Temperature, Animals, Pulmonary Veno-Occlusive Disease
Dogs, Hot Temperature, Pulmonary Veins, Atrial Fibrillation, Chronic Disease, Catheter Ablation, Temperature, Animals, Pulmonary Veno-Occlusive Disease
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 50 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
