About: Advances in radiofrequency ablation of the cerebral cortex in primates using the venous system: Improvements for treating epilepsy with catheter ablation technology     Goto   Sponge   NotDistinct   Permalink

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  • Background: Pharmacology frequently fails for the treatment of epilepsy. Although surgical techniques are effective, these procedures are highly invasive. We describe feasibility and efficacy of minimally invasive mapping and ablation for the treatment of epilepsy. Methods: Mapping and radiofrequency ablations were performed via the venous system in eleven baboons and three dogs. Results: Mapping in deep cerebral areas was obtained in all animals. High-frequency pacing was able to induce seizure activity of local cerebral tissue in 72% of our attempts. Cerebral activity could be seen during mapping. Ablative lesions were deployed at deep brain sites without steam pops or sudden impedance rise. Histologic analysis showed necrosis at the sites of ablation in all primates. Conclusion: Navigation through the cerebral venous system to map seizure activity is feasible. Radiofrequency energy can be delivered transvenously or transcortically to successfully ablate cortical tissue in this animal model using this innovative approach.
  • Background: Pharmacology frequently fails for the treatment of epilepsy. Although surgical techniques are effective, these procedures are highly invasive. We describe feasibility and efficacy of minimally invasive mapping and ablation for the treatment of epilepsy. Methods: Mapping and radiofrequency ablations were performed via the venous system in eleven baboons and three dogs. Results: Mapping in deep cerebral areas was obtained in all animals. High-frequency pacing was able to induce seizure activity of local cerebral tissue in 72% of our attempts. Cerebral activity could be seen during mapping. Ablative lesions were deployed at deep brain sites without steam pops or sudden impedance rise. Histologic analysis showed necrosis at the sites of ablation in all primates. Conclusion: Navigation through the cerebral venous system to map seizure activity is feasible. Radiofrequency energy can be delivered transvenously or transcortically to successfully ablate cortical tissue in this animal model using this innovative approach. (en)
Title
  • Advances in radiofrequency ablation of the cerebral cortex in primates using the venous system: Improvements for treating epilepsy with catheter ablation technology
  • Advances in radiofrequency ablation of the cerebral cortex in primates using the venous system: Improvements for treating epilepsy with catheter ablation technology (en)
skos:prefLabel
  • Advances in radiofrequency ablation of the cerebral cortex in primates using the venous system: Improvements for treating epilepsy with catheter ablation technology
  • Advances in radiofrequency ablation of the cerebral cortex in primates using the venous system: Improvements for treating epilepsy with catheter ablation technology (en)
skos:notation
  • RIV/00159816:_____/14:00061161!RIV15-MSM-00159816
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(ED1.100/02/0123)
http://linked.open...iv/cisloPeriodika
  • 6
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 1754
http://linked.open...ai/riv/idVysledku
  • RIV/00159816:_____/14:00061161
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Cerebral cortex; Radiofrequency; Venous system; Catheter ablation; Epilepsy (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • NL - Nizozemsko
http://linked.open...ontrolniKodProRIV
  • [B241F7A50AFB]
http://linked.open...i/riv/nazevZdroje
  • Epilepsy Research
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 108
http://linked.open...iv/tvurceVysledku
  • Kára, Tomáš
  • Bower, M.
  • Asirvatham, Sj
  • Berhow, S.
  • Bruce, Cj
  • Danielsen, Aj
  • Desimone, Cv
  • Friedman, Pa
  • Henz, Bd
  • Holmes, Dr
  • Johnson, Sb
  • Ladewig, Dj
  • Madhavan, M.
  • Mikell, Sb
  • Suddendorf, Sh
  • Wahnschaffe, D.
  • Worrell, Ga
http://linked.open...ain/vavai/riv/wos
  • 000339138700004
issn
  • 0920-1211
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.eplepsyres.2014.04.002
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