ABSTRACI RF/microwaves applications in medicine, particularly in cardiology, urology and surgery are described. Several of the applications have gained worldwide acceptance and are presendy used to treat human subjects, while others are curndy being researched and developed. To develop medical applications using RF/Microwaves, known and new biological effects are being thoroughly investigated. The effect of electromagnetic fields on biological materials and systems have been of particular interest
RF/MICROWAVES APPLICATIONS IN MEDICINE
INTRODUCTI0NThe use of RE/microwaves in therapeutic medicine has increased dramatically in the last few years. RF and microwave therapies for cancer in humans are well documented, and are presently used in many cancer centers. RF treatments for supraventricular arrhythmias, and more recently for ventricular tachycardia (VT) are currently employed by major hospitals. RF/microwaves are also used in human subjects for the treatnent of benign prostatic hyperplasia (BPH), and have gained international approval, including approval by the United States Food and Drug Administration (FDA). Despite these advances, considerable efforts are being expended on the improvement of such medical device technology.Furthermore, new modalities such as microwave enhanced liposuction, microwave ablation, RF/microwaves for the enhancement of drug absorption and microwave wound sterilizaton are continually being researched. In this paper we specifically adress the advances in the area of RE/microwave ablation, RF/microwave treatment of benign prostatic hyperplasia, microwave balloon angioplasty and two new areas of investigation: microwave enhanced liposuction and microwave anastomoses.
RF/MICROWAVE ABLATION (115)Cardiac arrhythmias can result from a variety of clinical conditions, but at their root is an abnormal focus, or pathway, of electrical activity. Abnormal sources of electrical activity most commonly occur at or above the AV-node, and are thus deened supraventricular tachy-arrhythmias. Altematively, abnormal ventricular foci cause ventricular tachycardia. The presence of abnormal conduction pathways can also result in an uncontrolled cycling of electrical activity resulting from retrograde signal conduction through the myocardium (re-entry tachy-arrhytmnias). Re-entry can occur within the AVnode (AVNRT), or via accessory conduction pathways (AP). Regardless of the specific etiology, once the source of the arrhythmia has been identified, destruction of the abnormal cardiac tissue is curative. Various energy forms have been used to create such localized tissue injury, including direct current (DC), radio-frequency (RF), and microwave energy.The clinical use of DC ablation dates back to 1982. An electrode catheter is placed at the desired location, and a DC shock is applied. Although complete ablation occurs in up to 65% of patients, DC ablation is fraught with complications. Hypotension, perforation, cardiac tamponade, embolization, pericarditis, and ventricular tachy-arrhythmias have been reported ...