[An experimental study on transcoronary chemical ablation: comparison of ventricular tachyarrhythmias induced by chemical ablation according to different chemical materials].
The purpose of this study was to compare heart rate, appearance rate and duration of ventricular tachycardia (VT) by transcoronary chemical ablation using 95% ethanol and 1% aethoxysclerol respectively. After the balloon which was guided to the left or right coronary artery with PTCA technique in anesthetized dogs was inflated, chemical ablation was performed using ethanol (n = 5) or aethoxysclerol (n = 5). These chemicals were administered at 0.05 ml/sec with total dose of 0.50-1.50 ml. A quadripolar electrode catheter was used to record the intracardiac electrogram. VT occurred in all dogs (100%) after the administration of both ethanol and aethoxysclerol. In one dog using ethanol, VT developed into ventricular fibrillation, resulting in death. In dogs using aethoxysclerol, the heart rate and duration of VT were significantly lower and shorter than in those using ethanol (p < 0.05). There were no significant differences determined histologically in the ablated lesions caused by these different chemicals. We conclude that the severity of VT induced in all subjects by chemical ablation is different according to the materials applied, and that aethoxysclerol seems to be safer in comparison with ethanol.
Ikeda
T
T
Third Department of Internal Medicine, Toho University School of Medicine, Ohashi Hospital.
Ninomiya
K
K
Sugi
K
K
Enjoji
Y
Y
Abe
R
R
Yabuki
S
S
Yamaguchi
T
T
Takahashi
K
K
Naoe
S
S
D000818:Animals; D003331:Coronary Vessels; D004285:Dogs; D004562:Electrocardiography; D000431:Ethanol / Q000008:administration & dosage / Q000009:adverse effects*; D006339:Heart Rate; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000008:administration & dosage / Q000009:adverse effects*; D017180:Tachycardia, Ventricular / Q000139:chemically induced* / Q000503:physiopathology
D000077423:Polidocanol; D000431:Ethanol; D011092:Polyethylene Glycols