Computational Modeling of Open-Irrigated Electrodes for Radiofrequency Cardiac Ablation Including Blood Motion-Saline Flow Interaction

[EN] Radiofrequency catheter ablation (RFCA) is a routine treatment for cardiac arrhythmias. During RFCA, the electrode-tissue interface temperature should be kept below 80°C to avoid thrombus formation. Open-irrigated electrodes facilitate power delivery while keeping low temperatures around the catheter. No computational model of an open-irrigated electrode in endocardial RFCA accounting for both the saline irrigation flow and the blood motion in the cardiac chamber has been proposed yet. We present the first computational model including both effects at once. The model has been validated against existing experimental results. Computational results showed that the surface lesion width and blood temperature are affected by both the electrode design and the irrigation flow rate. Smaller surface lesion widths and blood temperatures are obtained with higher irrigation flow rate, while the lesion depth is not affected by changing the irrigation flow rate. Larger lesions are obtained with increasing power and the electrode-tissue contact. Also, larger lesions are obtained when electrode is placed horizontally. Overall, the computational findings are in close agreement with previous experimental results providing an excellent tool for future catheter research.This work was supported in part by the Basque Government through the BERC 2014-2017 program and by Spanish Ministry of Economy and Competitiveness MINECO through the BCAM Severo Ochoa excellence accreditation SEV-2013-0323, and also by the Spanish "Plan Estatal de Investigacion, Desarrollo e Innovacion Orientada a los Retos de la Sociedad" under Grant TEC2014-52383-C3-R (TEC2014-52383-C3-1-R) and Grant MTM201569992-R. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. This work was supported in part by the Basque Government through the BERC 2014-2017 program and by Spanish Ministry of Economy and Competitiveness MINECO through the BCAM Severo Ochoa excellence accreditation SEV-2013-0323, and also by the Spanish "Plan Estatal de Investigacion, Desarrollo e Innovacion Orientada a los Retos de la Sociedad" under Grant TEC2014-52383-C3-R (TEC2014-52383-C3-1-R) and Grant MTM2015-69992-RGonzález-Suárez, A.; Berjano, E.; Guerra, JM.; Gerardo-Giorda, L. (2016). Computational Modeling of Open-Irrigated Electrodes for Radiofrequency Cardiac Ablation Including Blood Motion-Saline Flow Interaction. PLoS ONE. 11(3):1-18. https://doi.org/10.1371/journal.pone.0150356118113DEMOLIN, J. M., EICK, O. J., MUNCH, K., KOULLICK, E., NAKAGAWA, H., & WITTKAMPF, F. H. M. (2002). Soft Thrombus Formation in Radiofrequency Catheter Ablation. Pacing and Clinical Electrophysiology, 25(8), 1219-1222. doi:10.1046/j.1460-9592.2002.01219.xMATSUDAIRA, K., NAKAGAWA, H., WITTKAMPF, F. H. M., YAMANASHI, W. S., IMAI, S., PITHA, J. V., … JACKMAN, W. M. (2003). High Incidence of Thrombus Formation Without Impedance Rise During Radiofrequency Ablation Using Electrode Temperature Control. Pacing and Clinical Electrophysiology, 26(5), 1227-1237. doi:10.1046/j.1460-9592.2003.t01-1-00173.xWOOD, M. A., GOLDBERG, S. M., PARVEZ, B., PATHAK, V., HOLLAND, K., ELLENBOGEN, A. L., … GOEL, A. (2009). Effect of Electrode Orientation on Lesion Sizes Produced by Irrigated Radiofrequency Ablation Catheters. Journal of Cardiovascular Electrophysiology, 20(11), 1262-1268. doi:10.1111/j.1540-8167.2009.01538.xEVERETT IV, T. H., LEE, K. W., WILSON, E. E., GUERRA, J. M., VAROSY, P. D., & OLGIN, J. E. (2008). Safety Profiles and Lesion Size of Different Radiofrequency Ablation Technologies: A Comparison of Large Tip, Open and Closed Irrigation Catheters. Journal of Cardiovascular Electrophysiology, 20(3), 325-335. doi:10.1111/j.1540-8167.2008.01305.xDemazumder, D., Mirotznik, M. 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Reply to G. Betts's letter referring to "Serum potassium dynamics during acute heart failure hospitalization".

This work was funded by the Instituto de Salud Carlos III (Ministry of Economy, Industry and Competitiveness) and cofunded by the European Regional Development Fund, through the CIBER in cardiovascular diseases (CB16/11/00502).S

Cambios ontogenéticos e intraespecíficos observados en la rádula de Polycera aurantiomarginata García and Bobo, 1984 (Gastropoda Opisthobranchia)

Polycera aurantiomarginata García and Bobo 1984 has a stable population in the intertidal area of El Portil beach (Huelva, SW Spain). This fact allowed specimens of different sizes to be collected from March 2001 to December 2003. In this paper, the ontogenetic variations of the radula of P. aurantiomarginata are studied. The radulae of 141 specimens were examined, 138 from El Portil and 3 from La Herradura (Granada, SE Spain). Specimens of 1.5-2 mm in length lack the typical radula described for P. aurantiomarginata. They have the so called pre-radula whose teeth are different in size and shape from the typical radula of the adults. In the specimens of 3 and 4 mm the pre-radula coexists with the characteristic radula, which is the single structure present in the specimens larger than 4 mm. The following features of the radula are included in this study: radular length, number of teeth rows and length of the outer lateral teeth. According to the three measured variables, the affinities among specimens without a pre-radula were established through cluster analysis, which defined three different groups (4-10 mm, 11-22 mm and 23-48 mm). Correlations between specimen length and radula length, number of rows and mean length of outer lateral teeth were significant. Feeding strategies could be related to the different morphology of the radula established by the Cluster analysis.Polycera aurantiomarginata García y Bobo, 1984 muestra una población estable y en la localidad de El Portil (Huelva, SW de España), lo que ha permitido la recolección, desde marzo de 2001 hasta diciembre de 2003, de un alto número de ejemplares de todos los tamaños. En el presente estudio se ha extraído la rádula de 141 animales, 138 recogidos en la zona intermareal de El Portil y 3 en La Herradura (Granada). Los tamaños de los animales han oscilado entre 1.5 mm y 48 mm. Se ha podido observar en los individuos de entre 1.5 y 2 mm la existencia de una pre-rádula cuyos dientes son morfológicamente diferentes a los de la rádula de los individuos mayores; sin embargo, en los ejemplares de 3 y 4 mm esta pre-rádula coexiste con la rádula típica, siendo esta estructura la única presente en individuos de longitud igual o mayor a 4 mm. A cada una de las rádulas extraídas, tanto con pre-rádula o sin ella, se le ha medido la longitud total de la cinta, la longitud del diente lateral externo y el número de filas de dientes. Considerando los tres parámetros medidos, las afinidades entre los ejemplares sin pre-rádula se establecieron a partir de análisis de Cluster, que definieron tres grupos distintos (4-10 mm, 11-22 mm y 23-48 mm). Las correlaciones existentes entre la longitud de los individuos y la longitud de la rádula, el número de filas y la longitud media de los dientes fueron significativas. Las diferencias morfológicas reconocidas en los grupos considerados podrían estar relacionadas con distintas estrategias alimentarias.

Systematic Characterization of High-Power Short-Duration Ablation: Insight From an Advanced Virtual Model

High-power short-duration (HPSD) recently emerged as a new approach to radiofrequency (RF) catheter ablation. However, basic and clinical data supporting its effectiveness and safety is still scarc

Optical Light Curve of the Type Ia Supernova 1998bu in M96 and the Supernova Calibration of the Hubble Constant

We present the UBVRI light curves of the Type Ia supernova SN 1998bu which appeared in the nearby galaxy M96 (NGC 3368). M96 is a spiral galaxy in the Leo I group which has a Cepheid-based distance. Our photometry allows us to calculate the absolute magnitude and reddening of this supernova. These data, when combined with measurements of the four other well-observed supernovae with Cepheid based distances, allow us to calculate the Hubble constant with respect to the Hubble flow defined by the distant Calan/Tololo Type Ia sample. We find a Hubble constant of 64.0 +/- 2.2(internal) +/- 3.5(external) km/s/Mpc, consistent with most previous estimates based on Type Ia supernovae. We note that the two well-observed Type Ia supernovae in Fornax, if placed at the Cepheid distance to the possible Fornax spiral NGC 1365, are apparently too faint with respect to the Calan/Tololo sample calibrated with the five Type Ia supernovae with Cepheid distances to the host galaxies.Comment: AAS LaTeX, 20 pages, 4 figures, 6 tables, accepted for publication in the Astronomical Journal. Figure 1 (finding chart) not include

Subcellular forms and biochemical events triggered in human cells by HCV polyprotein expression from a viral vector

To identify the subcellular forms and biochemical events induced in human cells after HCV polyprotein expression, we have used a robust cell culture system based on vaccinia virus (VACV) that efficiently expresses in infected cells the structural and nonstructural proteins of HCV from genotype 1b (VT7-HCV7.9). As determined by confocal microscopy, HCV proteins expressed from VT7-HCV7.9 localize largely in a globular-like distribution pattern in the cytoplasm, with some proteins co-localizing with the endoplasmic reticulum (ER) and mitochondria. As examined by electron microscopy, HCV proteins induced formation of large electron-dense cytoplasmic structures derived from the ER and containing HCV proteins. In the course of HCV protein production, there is disruption of the Golgi apparatus, loss of spatial organization of the ER, appearance of some "virus-like" structures and swelling of mitochondria. Biochemical analysis demonstrate that HCV proteins bring about the activation of initiator and effector caspases followed by severe apoptosis and mitochondria dysfunction, hallmarks of HCV cell injury. Microarray analysis revealed that HCV polyprotein expression modulated transcription of genes associated with lipid metabolism, oxidative stress, apoptosis, and cellular proliferation. Our findings demonstrate the uniqueness of the VT7-HCV7.9 system to characterize morphological and biochemical events related to HCV pathogenesis

A Polyextreme Hydrothermal System Controlled by Iron: The Case of Dallol at the Afar Triangle

One of the latest volcanic features of the Erta Ale range at the Afar Triangle (NE Ethiopia) has created a polyextreme hydrothermal system located at the Danakil depression on top of a protovolcano known as the dome of Dallol. The interaction of the underlying basaltic magma with the evaporitic salts of the Danakil depression has generated a unique, high-temperature (108 °C), hypersaline (NaCl supersaturated), hyperacidic (pH values from 0.1 to −1.7), oxygen-free hydrothermal site containing up to 150 g/L of iron. We find that the colorful brine pools and mineral patterns of Dallol derive from the slow oxygen diffusion and progressive oxidation of the dissolved ferrous iron, the iron-chlorine/-sulfate complexation, and the evaporation. These inorganic processes induce the precipitation of nanoscale jarosite-group minerals and iron(III)- oxyhydroxides over a vast deposition of halite displaying complex architectures. Our results suggest that life, if present under such conditions, does not play a dominant role in the geochemical cycling and mineral precipitation at Dallol as opposed to other hydrothermal sites. Dallol, a hydrothermal system controlled by iron, is a present-day laboratory for studying the precipitation and progressive oxidation of iron minerals, relevant for geochemical processes occurring at early Earth and Martian environmentsThis work received funding from the European Research Council under the Programme (FP7/2007-2013)/ERC Grant Agreement 340863 (Prometheus) and from MINECO, ref CGL2016-78971-P, AEI/FEDER, UE”

Evaluation and use of surveillance system data toward the identification of high-risk areas for potential cholera vaccination: a case study from Niger.

In 2008, Africa accounted for 94% of the cholera cases reported worldwide. Although the World Health Organization currently recommends the oral cholera vaccine in endemic areas for high-risk populations, its use in Sub-Saharan Africa has been limited. Here, we provide the principal results of an evaluation of the cholera surveillance system in the region of Maradi in Niger and an analysis of its data towards identifying high-risk areas for cholera