Abstract
Catheter ablation has become the treatment of choice to cure various arrhythmias in the last decades. The newest advancement of this general concept is made on the navigation ability using remote-controlled ablation catheters. This review summarizes the concept of the two currently available systems, followed by a critical review of the published clinical reports for each system, respectively. Despite the limited amount of data, an attempt to compare the two systems is made.
Similar content being viewed by others
References
Al-Ahmad, A., Grossman, J. D., & Wang, P. J. (2005). Early experience with a computerized robotically controlled catheter system. Journal of Interventional Cardiac Electrophysiology, 12, 199–202.
Faddis, M. N., Blume, W., Finney, J., Hall, A., Rauch, J., Sell, J., et al. (2002). Novel, magnetically guided catheter for endocardial mapping and radiofrequency catheter ablation. Circulation, 106(23), 2980–2985.
Faddis, M. N., Chen, J., Osborn, J., Talcott, M., Cain, M. E., & Lindsay, B. D. (2003). Magnetic guidance system for cardiac electrophysiology: A prospective trial of safety and efficacy in humans. Journal of the American College of Cardiology, 42(11), 1952–1958.
Saliba, W., Cummings, J. E., Oh, S., Zhang, Y., Mazgalev, T. N., Schweikert, R. A., et al. (2006). Novel robotic catheter remote control system: Feasibility and safety of transseptal puncture and endocardial catheter navigation. Journal of Cardiovascular Electrophysiology, 17, 1–4.
Reddy, V. Y., Neuzil, P., Malchano, Z. J., Vijaykumar, R., Cury, R., Abbara, S., et al. (2007). View-synchronized robotic image-guided therapy for atrial fibrillation ablation: Experimental validation and clinical feasibility. Circulation, 115(21), 2705–2714.
Ernst, S., Ouyang, F., Linder, C., Hertting, K., Stahl, F., Chun, J., et al. (2004). Initial experience with remote catheter ablation using a novel magnetic navigation system. Circulation, 109(12), 1472–1475.
Ernst, S., Ouyang, F., Under, C., Hertting, K., Stahl, F., Chun, J., et al. (2004). Modulation of the slow pathway in the presence of a persistent left superior caval vein using the novel magnetic navigation system Niobe. Europace, 6(1), 10–14.
Ernst, S., Hachiya, H., Chun, J. K., & Ouyang, F. (2005). Remote catheter ablation of parahisian accessory pathways using a novel magnetic navigation system—A report of two cases. Journal of Cardiovascular Electrophysiology, 16(6), 659–662.
Kerzner, R., Sanchez, J. M., Osborn, J. L., Chen, J., Faddis, M. N., Gleva, M. J., et al. (2006). Radiofrequency ablation of atrioventricular nodal reentrant tachycardia using a novel magnetic guidance system compared with a conventional approach. Heart Rhythm, 3(3), 261–267.
Chun, J. K., Ernst, S., Matthews, S., Schmidt, B., Bansch, D., Boczor, S., et al. (2007). Remote-controlled catheter ablation of accessory pathways: Results from the magnetic laboratory. European Heart Journal, 28(2), 190–195.
Chun, J. K. R., Ernst, S., Schmidt, B., Ujeyl, A., & Kuck, K. H. (2006). Remote control magnetic ablation of a right anterolateral accessory pathway—The superior vena caval approach. Journal of Interventional Cardiac Electrophysiology, 16(1), 65–68.
Thornton, A. S., & Jordaens, L. J. (2006). Remote magnetic navigation for mapping and ablating right ventricular outflow tract tachycardia. Heart Rhythm, 3(6), 691–696.
Burkhardt, J. D., Saliba, W. I., Schweikert, R. A., Cummings, J., & Natale, A. (2006). Remote magnetic navigation to map and ablate left coronary cusp ventricular tachycardia. Journal of Cardiovascular Electrophysiology, 17(10), 1142–1144.
Thornton, A. S., & Jordaens, L. J. (2006). Remote magnetic navigation for mapping and ablating right ventricular outflow tract tachycardia. Heart Rhythm, 3(6), 691–696.
Thornton, A. S., Res, J., Mekel, J. M., & Jordaens, L. J. (2006). Use of advanced mapping and remote magnetic navigation to ablate left ventricular fascicular tachycardia. Pacing and Clinical Electrophysiology, 29(6), 685–688.
Aryana, A., d’Avila, A., Heist, E. K., Mela, T., Singh, J. P., Ruskin, J. N., et al. (2007). Remote magnetic navigation to guide endocardial and epicardial catheter mapping of scar-related ventricular tachycardia. Circulation, 115(10), 1191–200.
Pappone, C., Vicedomini, G., Manguso, F., Gugliotta, F., Mazzone, P., Gulletta, S., et al. (2006). Robotic magnetic navigation for atrial fibrillation ablation. Journal of the American College of Cardiology, 47(7), 1390–1400.
Di Biase, L., Fahmy, T. S., Patel, D., Bai, R., Civello, K., Wazni, O. M., et al. (2007). Remote magnetic navigation: Human experience in pulmonary vein ablation. Journal of the American College of Cardiology, 50(9), 868–874.
Pappone, C., Radinovic, A., Paglino, G., Vicedomini, G., Gulletta, S., Sala, S., et al. (2008). First human experience with an irrigated tip catheter for remote circumferential pulmonary vein ablation. Preliminary results in 33 patients with atrial fibrillation. Heart Rhythm, AB9-2 (in press).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ernst, S. Magnetic and robotic navigation for catheter ablation. J Interv Card Electrophysiol 23, 41–44 (2008). https://doi.org/10.1007/s10840-008-9272-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10840-008-9272-8