Mathematical modeling of radiofrequency ablation for varicose veins.

Choi SY, Kwak BK, Seo T - Comput Math Methods Med (2014)

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fig9: Temperature distributions along the interfacial surface in the axial direction for various blood velocities at electrode velocities (a) V = 1 mm/s and (b) V = 2 mm/s.
Mentions: Figure 9 represents temperature distributions along the axis for various blood velocities at time t = 7 s in the cases of both pullback velocities of electrode of V = 1 mm/s and 2 mm/s. In Figure 9, the temperature decreases gradually and reaches a constant value in downstream in the case of high blood velocity, while temperature decreases abruptly in the case for low blood velocity. As a result, since temperature increase in the lumen could be prevented when the pullback velocity of electrode increases, it is preferred that the electrode catheter moves to keep a certain blood temperature in downstream region during RFA procedure.

Bottom Line: The lower the blood velocity, the higher the temperature in the vein wall and the greater the tissue damage.The generated RF energy induces a temperature rise of the blood in the lumen and leads to an occlusion of the blood vessel.The vein wall absorbs more energy in the low pullback velocity than in the high one.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology and Medical Research Institute, School of Medicine, Ewha Womans University, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Republic of Korea.

ABSTRACT
We present a three-dimensional mathematical model for the study of radiofrequency ablation (RFA) with blood flow for varicose vein. The model designed to analyze temperature distribution heated by radiofrequency energy and cooled by blood flow includes a cylindrically symmetric blood vessel with a homogeneous vein wall. The simulated blood velocity conditions are U = 0, 1, 2.5, 5, 10, 20, and 40 mm/s. The lower the blood velocity, the higher the temperature in the vein wall and the greater the tissue damage. The region that is influenced by temperature in the case of the stagnant flow occupies approximately 28.5% of the whole geometry, while the region that is influenced by temperature in the case of continuously moving electrode against the flow direction is about 50%. The generated RF energy induces a temperature rise of the blood in the lumen and leads to an occlusion of the blood vessel. The result of the study demonstrated that higher blood velocity led to smaller thermal region and lower ablation efficiency. Since the peak temperature along the venous wall depends on the blood velocity and pullback velocity, the temperature distribution in the model influences ablation efficiency. The vein wall absorbs more energy in the low pullback velocity than in the high one.

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