|
1
|
Qian P, De Silva K, Kumar S, Nadri F, Samanta R, Bhaskaran A, Ross D, Sivagangabalan G, Cooper M, Kizana E, Davis L, Denniss AR, Thiagalingam A, Thomas S, Kovoor P. Early and long-term outcomes after manual and remote magnetic navigation-guided catheter ablation for ventricular tachycardia. Europace 2018; 20:ii11-ii21. [DOI: 10.1093/europace/euy057] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Accepted: 03/12/2018] [Indexed: 11/14/2022] Open
Affiliation(s)
- Pierre Qian
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - Kasun De Silva
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
| | - Saurabh Kumar
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
| | - Fazlur Nadri
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - Rahul Samanta
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - Abhishek Bhaskaran
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - David Ross
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - Gopal Sivagangabalan
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- School of Medicine, University of Notre Dame Australia, Sydney, Australia
| | - Mark Cooper
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
| | - Eddy Kizana
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - Lloyd Davis
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- School of Medicine, Western Sydney University, Sydney, Australia
| | - Alan Robert Denniss
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
- School of Medicine, Western Sydney University, Sydney, Australia
| | - Aravinda Thiagalingam
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - Stuart Thomas
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - Pramesh Kovoor
- Department of Cardiology, Westmead Hospital, Cnr of Hawkesbury and Darcy Rd, Westmead, Sydney, NSW 2145, Australia
- Sydney Medical School, University of Sydney, Sydney, Australia
| |
Collapse
|
|
4
|
Aagaard P, Natale A, Briceno D, Nakagawa H, Mohanty S, Gianni C, Burkhardt JD, DI Biase L. Remote Magnetic Navigation: A Focus on Catheter Ablation of Ventricular Arrhythmias. J Cardiovasc Electrophysiol 2016; 27 Suppl 1:S38-44. [PMID: 26969222 DOI: 10.1111/jce.12938] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Revised: 01/17/2016] [Accepted: 01/20/2016] [Indexed: 11/26/2022]
Abstract
VT ablation is based on percutaneous catheter insertion under fluoroscopic guidance to selectively destroy (i.e., ablate) myocardial tissue regions responsible for the initiation or propagation of ventricular arrhythmias. Although the last decade has witnessed a rapid evolution of ablation equipment and techniques, the control over catheter movement during manual ablation has remained largely unchanged. Moreover, the procedures are long, and require ergonomically unfavorable positions, which can lead to operator fatigue. In an attempt to overcome these constraints, several technical advancements, including remote magnetic navigation (RMN), have been developed. RMN utilizes a magnetic field to remotely manipulate specially designed soft-tip ablation catheters anywhere in the x, y, or z plane inside the patient's chest. RMN also facilitates titration of the contact force between the catheter and the myocardial tissue, which may reduce the risk of complications while ensuring adequate lesion formation. There are several non-randomized studies showing that RMN has similar efficacy to manual ablation, while complication rates and total radiation exposure appears to be lower. Although these data are promising, larger randomized studies are needed to prove that RMN is superior to manual ablation of VT.
Collapse
Affiliation(s)
- Philip Aagaard
- Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
| | - Andrea Natale
- Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA.,Department of Cardiology, University of Foggia, Foggia, Italy.,Division of Cardiology, Stanford University, Stanford, California, USA.,Case Western Reserve University, Cleveland, Ohio, USA.,EP Services, California Pacific Medical Center, San Francisco, California, USA.,Interventional Electrophysiology, Scripps Clinic, San Diego, California, USA.,Dell Medical School, University of Texas, Austin, Texas, USA
| | - David Briceno
- Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
| | - Hiroshi Nakagawa
- Heart Rhythm Institute, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
| | - Sanghamitra Mohanty
- Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA
| | - Carola Gianni
- Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA
| | - J David Burkhardt
- Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA
| | - Luigi DI Biase
- Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.,Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA.,Department of Biomedical Engineering, University of Texas, Austin, Texas, USA.,Department of Cardiology, University of Foggia, Foggia, Italy
| |
Collapse
|