Cor Vasa 2010, 52(1-2):25-29 | DOI: 10.33678/cor.2010.005
Robotic navigation for catheter ablation of atrial fibrillation
- 1 Klinika kardiologie, Institut klinické a experimentální medicíny, Praha
- 2 Lékařská fakulta v Plzni Univerzity Karlovy v Praze, Česká republika
Catheter ablation of atrial fibrillation (AF) is associated with many technical challenges such as difficult orientation in the left atrium due to significant variability in the arrangement of pulmonary veins, problems with contact between the tip of the ablation catheter and tissue, and increased radiation dose. Two remote control systems have been introduced into clinical practice to overcome these challenges. One of them - an electromechanical navigation system - has already been used in many centres as a standard method. Current experience suggests that this method has many advantages. It allows a standardized ablation procedure, limits fatigue of the operator and radiation dose. -Robotic navigation enables also a more effective application of radiofrequency current and has a potential to achieve a better long-term clinical efficacy.
Keywords: Atrial fibrillation; Catheter ablation; Robotic navigation; Electroanatomical mapping
Published: January 1, 2010 Show citation
References
- ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias - executive summary. J Am Coll Cardiol 2003;42: 1493-1531.
- Calkins H, Brugada J, Packer DL, et al. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. Europace 2007;9:335-379.
Go to original source...
Go to PubMed...
- Cappato R, Calkins H, Chen S-A, et al. Worldwide survey on methods, efficacy and safety of catheter ablation for human atrial fibrillation. Circulation 2005;111:1100-1105.
Go to original source...
Go to PubMed...
- Cappato R, Negroni S, Pecora D, et al. Prospective assessment of late conduction recurrence across radiofrequency lesions producing electrical disconnection of pulmonary vein ostium in patients with atrial fibrillation. Circulation 2003;108:1599-1604.
Go to original source...
Go to PubMed...
- Cheema A, Dong J, Dalal D, et al. Long-term safety and efficacy of circumferential ablation with pulmonary vein isolation. J Cardiovasc Electrophysiol 2006;17:1080-1085.
Go to original source...
Go to PubMed...
- Macle L, Weerasooriya R, Jais P, et al. Radiation exposure during radiofrequency catheter ablation for atrial fibrillation. Pacing Clin Electrophysiol 2003;26(Pt 2):288-291.
Go to original source...
Go to PubMed...
- Lickfett L, Mahesh M, Vasamreddy C, et al. Radiation exposure during catheter ablation of atrial fibrillation. Circulation 2004;110:3003-3010.
Go to original source...
Go to PubMed...
- Ernst S. Robotic approach to catheter ablation. Curr Opin Cardiol 2008;23:28-31. http://www.hansenmedical.com/products/sensei-x.aspx.
Go to original source...
Go to PubMed...
- Saliba W, Reddy V, Wazni O, et al. Atrial fibrillation ablation using a robotic catheter remote control system: Initial human experience and long-term follow-up results. J Am Coll Cardiol 2008;51:2407-2411.
Go to original source...
Go to PubMed...
- Kautzner J, Peichl P, Cihák R, et al. Early experience with robotic navigation for catheter ablation of paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 2009;32(Suppl 1):S163-S166.
Go to original source...
Go to PubMed...
- Di Biase L, Wang Y, Horton R, et al. Ablation of atrial fibrillation utilizing robotic catheter navigation in comparison to manual navigation and ablation. J Cardiovasc Electrophysiol 2009;20:1328-1335.
Go to original source...
Go to PubMed...
- Schmidt B, Tilz RR, Neven K, et al. Remote robotic navigation and electroanatomical mapping for ablation of atrial fibrillation: considerations for navigation and impact on procedural outcome. Circ Arrhythmia Electrophysiol 2009;2:120-128.
Go to original source...
Go to PubMed...
- Steven D, Servatius H, Rostock T, et al. Reduced fluoroscopy during atrial fibrillation ablation: benefits of robotic guided navigation. J Cardiovasc Electrophysiol 2009. [Epub ahead of print.]
Go to original source...