Effects of physical parameters on the cylindrical model for volume measurement by conductance.
Despite its undisputed utility for determining changes in ventricular pressure-volume relationships, the conductance catheter technique has not been proven reliable for measuring absolute volume. This limitation is due to violations of the assumptions inherent in the cylindrical model on which the method is based (i.e., homogeneous electric field and no leakage current). The purpose of this investigation was to relate cylindrical model correction factors to the physical environment of the catheter and to the cylindrical equation. Physical measurements of saline-filled, nonconductive cylinders using a four-electrode conductance catheter were compared with a three-dimensional finite element model of the physical apparatus. These measurements were incorporated into a parallel conductance model to relate physical parameters to corrections in the cylindrical equation for volume measurement. Excellent agreement between measured and modeled data was found. Results demonstrated a nonlinear relationship between the field nonhomogeneity correction factor (alpha) and cylinder diameter. The relationship between alpha and diameter was consistent with a theoretical extrapolation of cylinder diameter toward infinity. An inverse relationship between alpha and the parallel conductance volume (Vp) was also clarified. The parallel conductance model was able to demonstrate opposite effects of the physical presence of the catheter body and electrodes, which tended to cancel out any net effect on measured conductance. Results of this investigation and the developed finite element model clarify the nature of the correction terms in the cylindrical model and may lead to greater application of the conductance technique.
Hettrick
D A
DA
Department of Anesthesiology, Medical College of Wisconsin, Milwaukee 53226, USA.
Battocletti
J H
JH
Ackmann
J J
JJ
Linehan
J H
JH
Warltier
D C
DC
D002306:Cardiac Volume; D002404:Catheterization; D004553:Electric Conductivity; D004594:Electrophysiology / Q000379:methods*; D008962:Models, Theoretical; D017725:Ventricular Pressure