Table 1.
Most relevant preclinical irreversible electroporation (IRE) studies on cardiac tissue.
Study | Vitro/Vivo | Subject | Energy | Monopolar/Bipolar Electrode Configuration | Outcome and Side Effects |
---|---|---|---|---|---|
Jian et al. [22] | Vitro | HL-1 cell line | 200 V; 1000 V/cm | Not specified | Effective lesions created |
Krassowska et al. [23] | Vitro | Cardiac strand-2D model | 0.4–0.5 V; 25 V/cm | Not specified | Pores in the first layer of cells |
Hirano et al. [24] | Vivo | Porcine | Not specified | Bipolar | Healing process with preserved myocardial blood flow and little disruption of endocardium |
Lavee et al. [25] | Vivo | Porcine | 1500–2000 V | Not specified | Complete transmural destruction of atrial tissue and no local temperature change |
Du Pre et al. [26] | Vivo | Porcine | Not specified | Not specified | One third of lesions was transmural, not damages to coronary arteries |
Zager et al. [27] | Vivo | Rat | 50, 250, 500 V | Not specified | Tissue damage related to pulse voltage |
Semenov et al. [28] | Vivo | Rat | 20 kV; 36 kV/cm | Not specified | Smaller pore size |
Sugrue et al. [29] | Vivo | Canine | 750 V | Bipolar | Minimal collateral damage to myocardium |
Al-Khadra et al. [30] | Vivo | Rabbit | 50–500 V | Bipolar | IRE might transiently reduce myocardial vulnerability to arrhythmias |
Stewart et al. [31] | Vivo | Porcine | 500 V | Bipolar | Lesions comparable to radiofrequency lesions and had no collateral damage |
Neven et al. [32] | Vivo | Porcine | Not specified | Not specified | Thirty-one percent of lesions were transmural. No long-term luminal narrowing was seen. |
Hong et al. [33] | Vivo | Ovine | Not specified | Bipolar | Well-demarcated lesions |
Padmanabhan et al. [34] | Vivo | Canine | 1000 V | Bipolar | Preservation of atrial myocardial architecture and absence of inflammatory reaction and fibrosis. |
Wittkampf et al. [35] | Vivo | Porcine | 950–2150 V | Monopolar | Lesion would be sufficient for inducing pulmonary vein isolation. |