1
|
Bassil G, Markowitz SM, Liu CF, Thomas G, Ip JE, Lerman BB, Cheung JW. Robotics for catheter ablation of cardiac arrhythmias: Current technologies and practical approaches. J Cardiovasc Electrophysiol 2020; 31:739-752. [DOI: 10.1111/jce.14380] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Revised: 01/24/2020] [Accepted: 02/01/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Guillaume Bassil
- Division of Cardiology, Department of Medicine, New York Presbyterian HospitalWeill Cornell Medical College New York New York
| | - Steven M. Markowitz
- Division of Cardiology, Department of Medicine, New York Presbyterian HospitalWeill Cornell Medical College New York New York
| | - Christopher F. Liu
- Division of Cardiology, Department of Medicine, New York Presbyterian HospitalWeill Cornell Medical College New York New York
| | - George Thomas
- Division of Cardiology, Department of Medicine, New York Presbyterian HospitalWeill Cornell Medical College New York New York
| | - James E. Ip
- Division of Cardiology, Department of Medicine, New York Presbyterian HospitalWeill Cornell Medical College New York New York
| | - Bruce B. Lerman
- Division of Cardiology, Department of Medicine, New York Presbyterian HospitalWeill Cornell Medical College New York New York
| | - Jim W. Cheung
- Division of Cardiology, Department of Medicine, New York Presbyterian HospitalWeill Cornell Medical College New York New York
| |
Collapse
|
2
|
Zhao XX, Li KL, Wang RX, Zheng J, Liu XY, Dang SP, Yu ZM, Zhang CY, Yang XJ. Comparisons of efficacy, safety, and recurrence risk factors of paroxysmal and persistent atrial fibrillation catheter ablation using robotic magnetic navigation system. Clin Cardiol 2019; 42:418-424. [PMID: 30652336 PMCID: PMC6712313 DOI: 10.1002/clc.23156] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2018] [Revised: 01/09/2019] [Accepted: 01/14/2019] [Indexed: 01/24/2023] Open
Abstract
Background No data exist on comparisons of efficacy, safety, and recurrence risk factors of paroxysmal and persistent atrial fibrillation (AF) ablation using robotic magnetic navigation system (MNS), respectively. Methods About 151 AF patients were prospectively enrolled and divided into paroxysmal AF group (n = 102) and persistent AF group (n = 49). Circumferential pulmonary vein antrum isolation (CPVI) was performed in all patients. Linear ablation at the left atrial roof and mitral isthmus was performed in patients with persistent AF in addition to CPVI. The procedural time, X‐ray exposure time, acute and long‐term success rates of CPVI, and procedure‐related complications were analyzed. The AF recurrence rates in the two groups were compared during 1 year, and Cox regression was used to analyze the recurrence risk factors. Results The acute success rates of CPVI in the two groups were 98.04% and 97.96%, respectively. There were no significant differences in the procedural time, X‐ray exposure time, and ablation time between the two groups (P > 0.05). No serious complications appeared in either group. The AF ablation success rates were 70.6% and 57.1% for the paroxysmal and persistent groups respectively at 12‐month follow‐up (P = 0.102). AF duration and coronary heart disease prior to ablation were associated with the higher AF recurrence in patients with persistent AF. Conclusion Ablation using MNS is effective and safe both in patients with paroxysmal and persistent AF. AF duration and coronary heart disease prior to ablation are two independent risk factors of AF recurrence in patients with persistent AF postoperatively.
Collapse
Affiliation(s)
- Xiao-Xi Zhao
- Department of Cardiology, The First Hospital Affiliated to Soochow University, Suzhou, Jiangsu, China.,Department of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China
| | - Ku-Lin Li
- Department of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China
| | - Ru-Xing Wang
- Department of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China
| | - Jie Zheng
- Department of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China
| | - Xiao-Yu Liu
- Department of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China
| | - Shi-Peng Dang
- Department of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China
| | - Zhi-Ming Yu
- Department of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China
| | - Chang-Ying Zhang
- Department of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China
| | - Xiang-Jun Yang
- Department of Cardiology, The First Hospital Affiliated to Soochow University, Suzhou, Jiangsu, China
| |
Collapse
|
3
|
Bastian D, Schwab J, Steurer KT, Brinker-Paschke A, Boessenecker A, Doering R, Karakurt Z, Vitali-Serdoz L, Pauschinger M, Göhl K. Oesophageal injury following magnetically guided single-catheter ablation for atrial fibrillation: insights from the MAGNA-AF registry. Europace 2018; 20:ii48-ii55. [DOI: 10.1093/europace/euy021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Accepted: 01/26/2018] [Indexed: 11/15/2022] Open
Affiliation(s)
- Dirk Bastian
- Division of Electrophysiology, Department of Cardiology, Klinikum Fuerth, Jakob-Henle-Str. 1, D-90766 Fuerth, Germany
- Division of Electrophysiology, Department of Cardiology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
| | - Johannes Schwab
- Division of Electrophysiology, Department of Cardiology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
| | - Karl-Theodor Steurer
- Department of Gastroenterology and Endocrinology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
| | - Andrea Brinker-Paschke
- Division of Electrophysiology, Department of Cardiology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
| | - Arno Boessenecker
- Division of Electrophysiology, Department of Cardiology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
| | - Reinhard Doering
- Division of Electrophysiology, Department of Cardiology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
- Department of Internal Medicine, Kreiskrankenhaus St. Anna, Spitalstr. 5, D-91315 Hoechstadt a.d.Aisch, Germany
| | - Zeynep Karakurt
- Division of Electrophysiology, Department of Cardiology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
| | - Laura Vitali-Serdoz
- Division of Electrophysiology, Department of Cardiology, Klinikum Fuerth, Jakob-Henle-Str. 1, D-90766 Fuerth, Germany
| | - Matthias Pauschinger
- Division of Electrophysiology, Department of Cardiology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
| | - Konrad Göhl
- Division of Electrophysiology, Department of Cardiology, Paracelsus Medical University Nuremberg, Breslauer Str. 201, D-90471 Nuremberg, Germany
| |
Collapse
|
4
|
Yuan S, Holmqvist F, Kongstad O, Jensen SM, Wang L, Ljungström E, Hertervig E, Borgquist R. Long-term outcomes of the current remote magnetic catheter navigation technique for ablation of atrial fibrillation. SCAND CARDIOVASC J 2017; 51:308-315. [DOI: 10.1080/14017431.2017.1384566] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Shiwen Yuan
- Section of Arrhythmias, Skåne University Hospital, Lund University, Lund, Sweden
| | - Fredrik Holmqvist
- Section of Arrhythmias, Skåne University Hospital, Lund University, Lund, Sweden
| | - Ole Kongstad
- Section of Arrhythmias, Skåne University Hospital, Lund University, Lund, Sweden
| | - Steen M. Jensen
- Section of Arrhythmias, Skåne University Hospital, Lund University, Lund, Sweden
| | - Lingwei Wang
- Section of Arrhythmias, Skåne University Hospital, Lund University, Lund, Sweden
| | - Erik Ljungström
- Section of Arrhythmias, Skåne University Hospital, Lund University, Lund, Sweden
| | - Eva Hertervig
- Section of Arrhythmias, Skåne University Hospital, Lund University, Lund, Sweden
| | - Rasmus Borgquist
- Section of Arrhythmias, Skåne University Hospital, Lund University, Lund, Sweden
| |
Collapse
|
5
|
JIN QI, PEHRSON STEEN, JACOBSEN PETERKARL, CHEN XU. Efficacy and Safety of Atrial Fibrillation Ablation Using Remote Magnetic Navigation: Experience from 1,006 Procedures. J Cardiovasc Electrophysiol 2016; 27 Suppl 1:S23-8. [DOI: 10.1111/jce.12929] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Revised: 01/07/2016] [Accepted: 01/08/2016] [Indexed: 11/29/2022]
Affiliation(s)
- QI JIN
- Department of Cardiology, The Heart Centre, Rigshospitalet; Copenhagen University Hospital; Copenhagen Denmark
- Department of Cardiology, Shanghai Rui Jin Hospital; Shanghai Jiao Tong University School of Medicine; Shanghai China
| | - STEEN PEHRSON
- Department of Cardiology, The Heart Centre, Rigshospitalet; Copenhagen University Hospital; Copenhagen Denmark
| | - PETER KARL JACOBSEN
- Department of Cardiology, The Heart Centre, Rigshospitalet; Copenhagen University Hospital; Copenhagen Denmark
| | - XU CHEN
- Department of Cardiology, The Heart Centre, Rigshospitalet; Copenhagen University Hospital; Copenhagen Denmark
| |
Collapse
|
6
|
Impact of catheter ablation with remote magnetic navigation on procedural outcomes in patients with persistent and long-standing persistent atrial fibrillation. J Interv Card Electrophysiol 2015. [DOI: 10.1007/s10840-015-0037-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
7
|
Health-related quality of life changes in patients undergoing repeated catheter ablation for atrial fibrillation. Clin Res Cardiol 2015; 105:1-9. [PMID: 26105951 DOI: 10.1007/s00392-015-0879-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2014] [Accepted: 06/09/2015] [Indexed: 12/19/2022]
Abstract
OBJECTIVE Pulmonary vein isolation (PVI) for paroxysmal or non-paroxysmal atrial fibrillation (AF) should increase health-related quality of life (QOL). DESIGN Retrospective cohort study of consecutive patients scheduled for PVI. SETTING University Medical Center. MAIN OUTCOME MEASURES QOL was assessed using the physical (PCS) and mental (MCS) component summary scores from the SF-12v2 in patients undergoing PVI (mean 50, range 0-100, with higher scores indicating greater QOL). SF-12v2 was obtained at initial presentation (3-months) before PVI and after PVI at the end of follow-up (mean 1.7 ± 1.4 years) which included: (1) Clinical status, ECG, and 24-h ECG every 3 months, (2) trans-telephonic ECGs for 4 weeks every 3 months, or (3) continuous ECG via implanted devices. A recurrence was any atrial arrhythmia >30 s. RESULTS Out of 229 patients (73% males; 58 ± 11 years), 72% returned SF-12v2 regarding 187 PVI procedures: 56% for 1st PVI, 48% for 2nd PVI, 71% for 3rd PVI, and 44% for 4th PVI. The mean difference between before and after PVI was 10 for PCS and 9 for MCS. History of paroxysmal or non-paroxysmal AF did not influence QOL (p = 0.724). Patients with an estimated PCS improvement ≥ 10 or an estimated MCS improvement ≥ 9 had the best outcome after repeated PVI. Success rates were 72 or 82% after 1 year compared to 20 and 22% in patients not achieving this improvement, respectively (p < 0.0001). CONCLUSION Improvement in QOL correlates with success of AF ablation after single and repeated PVI. Assessment of QOL pre- and post-PVI can complement ECG techniques for PVI success monitoring.
Collapse
|
8
|
Gal P, Linnenbank AC, Adiyaman A, Smit JJJ, Ramdat Misier AR, Delnoy PPH, de Bakker JM, Elvan A. Correlation of atrial fibrillation cycle length and fractionation is associated with atrial fibrillation free survival. Int J Cardiol 2015; 187:208-15. [DOI: 10.1016/j.ijcard.2015.03.284] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2014] [Revised: 01/06/2015] [Accepted: 03/03/2015] [Indexed: 10/23/2022]
|
9
|
Selection for atrial fibrillation ablation: Importance of diastolic function grading. J Cardiol 2014; 65:479-86. [PMID: 25169014 DOI: 10.1016/j.jjcc.2014.07.018] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2014] [Revised: 07/05/2014] [Accepted: 07/22/2014] [Indexed: 12/19/2022]
Abstract
BACKGROUND Pulmonary vein isolation (PVI) has become an accepted therapy for patients with atrial fibrillation (AF) and the indications have widened to include non-paroxysmal AF-patients. Maintenance of sinus rhythm after PVI can be adversely affected by clinical or echocardiographic parameters, which should be clearly identified. METHODS AND RESULTS After baseline clinical and echocardiographic evaluations, PVI was performed in patients with paroxysmal or non-paroxysmal AF. The follow-up strategy after PVI included: (1) clinical follow up, 12-lead electrocardiography (ECG) and 24-h ECG every 3 months, (2) trans-telephonic ECGs twice daily and when symptomatic (over 4 weeks) every 3 months, or (3) continuous monitoring via implanted devices. A recurrence was an atrial arrhythmia lasting >30s. All 340 PVI procedures of 229 patients were analyzed. On average, 1.5 PVI procedures per patient (range, 1-6 PVI) were performed. The mean age was 58±11 years (73% male) with 109 paroxysmal and 120 non-paroxysmal AF cases. Clinical follow-up with 12-lead ECGs, 24-h ECGs, trans-telephonic ECGs, and implanted devices was complete in 100%, 63%, 51%, and 16% of cases, respectively. The overall one-year recurrence rate of 59% (range, 24-82%) was dependent on grades of diastolic function (normal - dysfunction grade III) in a multivariable analysis model. Patients with normal diastolic function had the lowest recurrence rates of 24% and 49% after 1 and 3 years of follow-up, respectively (p<0.0001). CONCLUSION Diastolic function could serve as a simple summary predictor for AF recurrence, and would facilitate clinical decision-making in AF treatment.
Collapse
|