Using electrical impedance to predict catheter-endocardial contact during RF cardiac ablation

Hong Cao, Supan Tungjitkusolmun, Young Bin Choy, Jang Zern Tsai, Vicken R. Vorperian, John G. Webster

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

During radio-frequency (RF) cardiac catheter ablation, there is little information to estimate the contact between the catheter tip electrode and endocardium because only the metal electrode shows up under fluoroscopy. We present a method that utilizes the electrical impedance between the catheter electrode and the dispersive electrode to predict the catheter tip electrode insertion depth into the endocardium. Since the resistivity of blood differs from the resistivity of the endocardium, the impedance increases as the catheter tip lodges deeper in the endocardium. In vitro measurements yielded the impedance-depth relations at 1, 10, 100, and 500 kHz. We predict the depth by spline curve interpolation using the obtained calibration curve. This impedance method gives reasonably accurate predicted depth. We also evaluated alternative methods, such as impedance difference and impedance ratio.

Original languageEnglish
Pages (from-to)247-253
Number of pages7
JournalIEEE Transactions on Biomedical Engineering
Volume49
Issue number3
DOIs
StatePublished - 2002

Keywords

  • Ablation
  • Biomedical electrodes
  • Biomedical measurements
  • Cardiovascular system
  • Conductivity measurement
  • Electrodes
  • Impedance measurement
  • Measurement

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