Evidence map›Paper›PMID 35924470›Full record

ArticleJournal of cardiovascular electrophysiology2022

Establishing electroporation thresholds for targeted cell specific cardiac ablation in a 2D culture model.

Sahar Avazzadeh, Mahshid H Dehkordi, Peter Owens, Amirhossein Jalali, Barry O'Brien, Ken Coffey, Martin O'Halloran, Howard O Fernhead, David Keane, Leo R Quinlan

Open access · hybridAbstract read
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Targeted ablation of epicardial ganglionated plexi during cardiac surgery with pulsed field electroporation (NEURAL AF).Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Trial
  2. Biophysical principles of pulsed field ablation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Review
  3. Article
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  8. Review
  9. Article
  10. Pulsed Field Ablation: A Comprehensive Update.Journal of clinical medicine · 2024
    Review
  11. Review
  12. Opportunities and Challenges in Catheter-Based Irreversible Electroporation for Ventricular Tachycardia.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
    Review
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  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Sahar AvazzadehPhysiology and Cellular Physiology Research Laboratory, CÚRAM SFI Centre for Research in Medical Devices, School of Medicine, Human biology building, National University of Ireland (NUI), Galway, Ireland.ORCID 0000-0001-7705-8970
Mahshid H DehkordiDepartment Pharmacology and Therapeutics, School of Medicine, Biomedical Research Building, National University of Ireland (NUI), Galway, Ireland.
Peter OwensCentre for Microscopy and Imaging, Human Biology Building, National University of Ireland (NUI), Galway, Ireland.
Amirhossein JalaliDepartment of Mathematics and statistics, University of limerick, Limerick, Ireland.
Barry O'BrienAtriAN Medical Limited, Unit 204, NUIG Business Innovation Centre, Galway, Ireland.
Ken CoffeyAtriAN Medical Limited, Unit 204, NUIG Business Innovation Centre, Galway, Ireland.
Martin O'HalloranTranslational Medical Devise Lab (TMDLab), Lambe Institute of Translational Research, University College Hospital Galway, Galway, Ireland.
Howard O FernheadDepartment Pharmacology and Therapeutics, School of Medicine, Biomedical Research Building, National University of Ireland (NUI), Galway, Ireland.
David KeaneElectrical & Electronic Engineering, School of Engineering, National University of Ireland Galway, Galway, Ireland.
Leo R QuinlanPhysiology and Cellular Physiology Research Laboratory, CÚRAM SFI Centre for Research in Medical Devices, School of Medicine, Human biology building, National University of Ireland (NUI), Galway, Ireland.
National University of Ireland · IEBusiness Innovation Centre · ITOllscoil na Gaillimhe – University of Galway · IEUniversity Hospital Galway · IEUniversity of Limerick · IE

Funding

Enterprise Ireland
6 · The paper itself

Abstract

backgroundIrreversible electroporation has emerged as a new modality to overcome issues associated with other energy sources for cardiac ablation. Strong evidence on the optimal, effective, and selective voltage threshold is lacking for both in vitro and preclinical in vivo studies. The aim of this study is to examine the optimal threshold for selective cell ablation on cardiac associated cell types.

methodsConventional monophasic and biphasic pulses of different field strength were delivered in a monolayer culture system of cardiomyocytes, neurons, and adipocytes. The dynamics of cell death mechanisms were examined at different time points.

resultsNeurons exhibit higher susceptibility to electroporation and cell death at higher field strength of 1250 V/cm in comparison to cardiomyocytes. Cardiac adipocytes showed lower susceptibility to electroporation in comparison to other cell types. A significant proportion of cardiomyocytes recovered after 24 h postelectroporation, while neuronal cell death remained consistent but with a significant delayed cell death at a higher voltage threshold. Caspase 3/7 activity was observed in both cardiomyocytes and neurons, with a higher level of activity in cardiomyocytes in response to electroporation. Biphasic and monophasic pulses showed no significant difference in both cell types, and significantly lower cell death in neurons when inter pulse interval was reduced.

conclusionsThis study presents important findings on the differences in the susceptibility of neurons and cardiomyocytes to irreversible electroporation. Cell type alone yielded selective and different dynamics in terms of the evolution and signaling mechanism of cell death in response to electroporation.

Indexed as

Catheter AblationElectroporationHeart RateHumansatrial fibrillationcardiac ablationirreversible electroporation

Identifiers

PMID35924470
PMCPMC9543844
OpenAlexW4289754835

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.