Advances in radiofrequency ablation of the cerebral cortex in primates using the venous system: Improvements for treating epilepsy with catheter ablation technology.

BACKGROUND: Pharmacology frequently fails for the treatment of epilepsy. Although surgical techniques are effective, these procedures are highly invasive. We describe feasibility and efficacy of minimally invasive mapping and ablation for the treatment of epilepsy. METHODS: Mapping and radiofrequency ablations were performed via the venous system in eleven baboons and three dogs. RESULTS: Mapping in deep cerebral areas was obtained in all animals. High-frequency pacing was able to induce seizure activity of local cerebral tissue in 72% of our attempts. Cerebral activity could be seen during mapping. Ablative lesions were deployed at deep brain sites without steam pops or sudden impedance rise. Histologic analysis showed necrosis at the sites of ablation in all primates. CONCLUSION: Navigation through the cerebral venous system to map seizure activity is feasible. Radiofrequency energy can be delivered transvenously or transcortically to successfully ablate cortical tissue in this animal model using this innovative approach.

Development of cleaner-burning brick kilns in Ciudad Juarez, Chihuahua, Mexico.

The following results provide a comparison between net airborne contamination produced by the traditional form of kiln used in Northern Mexico and by those modified according to a design by Dr. Robert Marquez. What has become known as the MK style kiln was intended to significantly reduce contaminant emissions. The concept involves covering the kiln with a dome and channeling the output of an active kiln through a second, identical loaded kiln for its additional filtration of the effluents. Kilns of a pair are connected via clay brick channels. The roles are reversed after the initial kiln is refilled. Significant reductions in the particulate and gaseous emissions were achieved in the prototype system, but a connectional problem with recent kiln pairs has also limited the degree of operational success. The problem did not mask the potential of the MK kiln, as will be shown. Additional anticipated benefits to the owners of MK kilns, such as reduced operating cycles and decreased quantities of fuel, also have been verified. Key measurements made during all of the burns were of aerosol densities and buoyancies in the flues, kiln temperatures, and, on a number of occasions, chemical analyses of both aerosol and gaseous effluents. Continuous time histories of aerosol densities for most burns (of a total of -40) provide a basis for examining features and the effects of differing styles of operation with respect to burn efficiency and net contaminant masses. Covering the active kiln with a dome produces a net reduction in dry aerosol effluent mass of a factor between 5 and 10, whereas the addition of a filter kiln produces a net reduction of about a factor of 2. The use of used motor oil as a fuel further reduced aerosol contamination by -1 order of magnitude.