Cardiac Denervation for Arrhythmia Treatment with Transesophageal Ultrasonic Strategy in Canine Models

Yuanqing Yao; Jun Qian; Shunkang Rong; Yuwen Huang; Bo Xiong; Gang Yang; Dengqing Zhang; Shimin Deng; Jie Tan; Que Zhu; Changming Deng; Dichuan Liu; Haitao Ran; Zhigang Wang; Jing Huang

doi:10.1016/j.ultrasmedbio.2018.10.013

Cardiac Denervation for Arrhythmia Treatment with Transesophageal Ultrasonic Strategy in Canine Models

Ultrasound Med Biol. 2019 Feb;45(2):490-499. doi: 10.1016/j.ultrasmedbio.2018.10.013. Epub 2018 Dec 6.

Authors

Yuanqing Yao¹, Jun Qian², Shunkang Rong², Yuwen Huang¹, Bo Xiong¹, Gang Yang², Dengqing Zhang¹, Shimin Deng², Jie Tan², Que Zhu², Changming Deng², Dichuan Liu², Haitao Ran³, Zhigang Wang³, Jing Huang⁴

Affiliations

¹ Department of Cardiology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China; Ultrasonographic Institute of Chongqing Medical University and Chongqing Key Laboratory of Ultrasound Molecular Imaging, Chongqing, China.
² Department of Cardiology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
³ Ultrasonographic Institute of Chongqing Medical University and Chongqing Key Laboratory of Ultrasound Molecular Imaging, Chongqing, China; Department of Ultrasound, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
⁴ Department of Cardiology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China; Ultrasonographic Institute of Chongqing Medical University and Chongqing Key Laboratory of Ultrasound Molecular Imaging, Chongqing, China. Electronic address: huangjing@cqmu.edu.cn.

PMID: 30527842
DOI: 10.1016/j.ultrasmedbio.2018.10.013

Abstract

Stellate ganglion (SG) modification has been investigated for arrhythmia treatment. In this study, transesophageal SG imaging and intervention were explored using a homemade 30F integrated focused ultrasonic catheter in healthy mongrel canines in vivo. Anatomic details of SGs were ultrasonically imaged and evaluated. SG had a heterogeneous echoic structure and characteristic profiles sketched by hyper-echoic outlines in an ultrasonogram. Left SGs in the experimental group were successfully ablated through the esophagus under ultrasonic guidance provided by the catheter itself. Two weeks after the ablation, the QT and QTc of the experimental group decreased compared with those of the sham group and at baseline (both p values < 0.001). Histologic examination revealed that left SGs were destroyed. No major complications were observed. This approach may be further explored as a method for ganglia remodeling evaluation and as a strategy of ganglia modification for arrhythmia and for other diseases.

Keywords: Focused ultrasound; Stellate ganglion; Transesophageal catheter; Ultrasonic ablation; Ventricular arrhythmia.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Animals
Arrhythmias, Cardiac / therapy*
Disease Models, Animal
Dogs
High-Intensity Focused Ultrasound Ablation / methods*
Stellate Ganglion / surgery*
Ultrasonography, Interventional / methods*