Remote vs. conventional navigation for catheter ablation of atrial fibrillation: insights from prospective registry data

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
Jan-Hendrik van den BruckDaniel Steven

Abstract

Robotic (RNS) or magnetic navigation systems (MNS) are available for remotely performed catheter ablation for atrial fibrillation (AF). The present study compares remotely assisted catheter navigation (RAN) to standard manual navigation (SMN) and both systems amongst each other. The analysis is based on a sub-cohort enrolled by five hospitals from the multicenter German ablation Registry. Out of 2442 patients receiving catheter ablation of AF, 267 (age 61.4 ± 10.4, 69.7% male) were treated using RAN (RNS n = 187, 7.7% vs. MNS n = 80, 3.3%). Fluoroscopy time [RNS median 17 (IQR 12-25) min vs. MNS 22 (16-32) min; p < 0.001] and procedure duration [RNS 180 (145-220) min vs. MNS 265 (210-305) min; p < 0.001] were significantly different. Comparing RAN (11%) to SMN (89%) fluoroscopy time (RAN 19 (13-27) min, vs. SMN 25 (16-40) min; p < 0.001), energy delivery (RAN 3168 (2280-3840) s vs. SMN 2640 (IQR 1799-3900) s; p = 0.008) and procedure duration [RAN 195 (150-255) min vs. SMN 150 (120-150) min; p = 0.001] differed significantly. In terms of acute and 12 months outcome, no differences were seen between the two systems or in comparison to SMN. AF ablation can be performed safely, with high acute success rates using RAN. RNS results ...Continue Reading

References

Aug 18, 2004·Circulation·Donald M Lloyd-JonesEmelia J Benjamin
May 6, 2005·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Amin Al-AhmadPaul J Wang
Jan 16, 2007·European Heart Journal·Julian Kyoung-Ryul ChunKarl-Heinz Kuck
Nov 27, 2007·Expert Review of Medical Devices·Carlo PapponeVincenzo Santinelli
May 9, 2008·Journal of Cardiovascular Electrophysiology·David D SpraggHugh Calkins
Nov 5, 2008·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·Boris SchmidtKarl-Heinz Kuck
Nov 6, 2008·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Daniel StevenStephan Willems
Oct 2, 2009·Journal of Cardiovascular Electrophysiology·Daniel StevenStephan Willems
Oct 13, 2010·Circulation. Arrhythmia and Electrophysiology·Shinsuke MiyazakiMichel Haïssaguerre
Jun 28, 2011·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Lars LüthjeMarkus Zabel
Apr 16, 2013·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·Riccardo ProiettiLudovica Tagliabue
Sep 26, 2013·International Journal of Cardiology·Mohammed ShurrabEugene Crystal
Oct 23, 2014·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·Emmanuel KoutalasArash Arya
May 7, 2015·The New England Journal of Medicine·Atul VermaUNKNOWN STAR AF II Investigators
Jun 25, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Thomas PezawasHerwig Schmidinger
Jul 23, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Andreas RilligRoland Richard Tilz
Jan 23, 2016·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Antonio Dello RussoClaudio Tondo
Nov 4, 2016·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·Paulus KirchhofKatja Zeppenfeld
Jan 4, 2017·International Journal of Cardiology·Antoine Da CostaKarl Isaaz
May 12, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Klaus KetteringFelix Gramley
May 17, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Hugh CalkinsTeiichi Yamane
Jun 1, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Hai DengGregory Y H Lip
Jun 11, 2017·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Tilman MaurerErik Wissner
Sep 30, 2017·Scandinavian Cardiovascular Journal : SCJ·Shiwen YuanRasmus Borgquist
May 10, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Tilman MaurerChristian Sohns

❮ Previous
Next ❯

Citations

Feb 10, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Cecilia TettaSandro Gelsomino
Feb 25, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Gerrit FrommeyerLars Eckardt
Oct 28, 2019·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Jiri JezZdenek Starek
Mar 8, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Ann-Kathrin RahmEberhard Scholz

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Cardiac Conduction System

The cardiac conduction system is a specialized tract of myocardial cells responsible for maintaining normal cardiac rhythm. Discover the latest research on the cardiac conduction system here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.

Related Papers

Heart Rhythm : the Official Journal of the Heart Rhythm Society
Waqas UllahRichard J Schilling
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
J David BurkhardtAndrea Natale
© 2022 Meta ULC. All rights reserved