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Evaluation of pulsed field ablation lesion characteristics using an in vitro vegetable model

  • Nathaniel A. Steiger,
  • Logan McClennen,
  • Justin Bilenker,
  • Carlos Patino,
  • Carlos D. Matos,
  • Katherine M. Sauer,
  • Carolina Hoyas,
  • Usha B. Tedrow,
  • Paul C. Zei,
  • Jorge E. Romero,
  • William H. Sauer

摘要

Background

In vitro models to evaluate cardiac pulsed field ablation (PFA) have not been well established. We sought to create a standardized vegetable model and staining protocol for assessing unipolar PFA using a surface electrode.

Methods

We exposed potato slabs to unipolar PFA in a saline bath using a 3.5 mm electrode catheter and grounding pad connected to a custom-built high-voltage generator. Lesions were clearly visualized after staining with 2,3,5-triphenyltetrazolium chloride (TTC) using a timed protocol to reveal a necrotic center and a periphery of electroporated cells with intact mitochondria.

Results

Lesion volume increased linearly with increasing voltage and logarithmically with repetitive PFA applications.

Conclusion

The findings observed in this vegetable model using a TTC staining protocol are consistent with findings observed with cardiomyocytes.

Graphical Abstract