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{{UPE|date=July 2018}}
{{UPE|date=July 2018}}
{{advert|date=July 2018}}
{{advert|date=July 2018}}
'''Robotic magnetic navigation''' ('''RMN''') (also called remote magnetic navigation) uses robotic technology to direct magnetic fields which control the movement of magnetic-tipped endovascular catheters into and through the chambers of the heart during [[cardiac catheterization]] procedures.<ref>{{cite journal |last1=Da Costa |first1=A |last2=Guichard |first2=JB |last3=Roméyer-Bouchard |first3=C |last4=Gerbay |first4=A |last5=Isaaz |first5=K |title=Robotic magnetic navigation for ablation of human arrhythmias |journal= Medical Devices: Evidence and Research|date=2016 |volume=9 |pages=331–339 |doi=10.2147/MDER.S96167 |pmid=27698569|pmc=5034914 }}</ref>
'''Robotic magnetic navigation''' ('''RMN''') (also called remote magnetic navigation) uses robotic technology to direct magnetic fields which control the movement of magnetic-tipped endovascular catheters into and through the chambers of the heart during [[cardiac catheterization]] procedures.<ref>{{cite journal |last1=Da Costa |first1=A |last2=Guichard |first2=JB |last3=Roméyer-Bouchard |first3=C |last4=Gerbay |first4=A |last5=Isaaz |first5=K |title=Robotic magnetic navigation for ablation of human arrhythmias |journal= Medical Devices: Evidence and Research|date=2016 |volume=9 |pages=331–339 |doi=10.2147/MDER.S96167 |pmid=27698569|pmc=5034914 |doi-access=free }}</ref>


==Devices==
==Devices==
Because the human heart beats during ablation procedures, catheter stability can be affected by navigation technique. Magnetic fields created by RMN technology guide the tip of a catheter using a “pull” mechanism of action (as opposed to “push” with manual catheter navigation). Magnetic catheter navigation has been associated with greater catheter stability.<ref>{{cite journal |last1=Davis |first1=DR |last2=Tang |first2=AS |last3=Gollob |first3=MH |last4=Lemery |first4=R |last5=Green |first5=MS |last6=Birnie |first6=DH |title=Remote magnetic navigation-assisted catheter ablation enhances catheter stability and ablation success with lower catheter temperatures |journal=Pacing and Clinical Electrophysiology |date=July 2008 |volume=31 |issue=7 |pages=893–8 |doi=10.1111/j.1540-8159.2008.01105.x |pmid=18684288}}</ref>
Because the human heart beats during ablation procedures, catheter stability can be affected by navigation technique. Magnetic fields created by RMN technology guide the tip of a catheter using a “pull” mechanism of action (as opposed to “push” with manual catheter navigation). Magnetic catheter navigation has been associated with greater catheter stability.<ref>{{cite journal |last1=Davis |first1=DR |last2=Tang |first2=AS |last3=Gollob |first3=MH |last4=Lemery |first4=R |last5=Green |first5=MS |last6=Birnie |first6=DH |title=Remote magnetic navigation-assisted catheter ablation enhances catheter stability and ablation success with lower catheter temperatures |journal=Pacing and Clinical Electrophysiology |date=July 2008 |volume=31 |issue=7 |pages=893–8 |doi=10.1111/j.1540-8159.2008.01105.x |pmid=18684288|s2cid=19617848 }}</ref>


==Medical use==
==Medical use==
===Atrial fibrilation===
===Atrial fibrilation===
As of 2015 there were two robotic catherization systems on the market for [[atrial fibrilation]]; one of them used magnetic guidance.<ref>{{cite journal |last1=Gerstenfeld |first1=EP |last2=Duggirala |first2=S |title=Atrial fibrillation ablation: indications, emerging techniques, and follow-up |journal=Progress in Cardiovascular Diseases |date=2015 |volume=58 |issue=2 |pages=202–12 |doi=10.1016/j.pcad.2015.07.008 |pmid=26241304}}</ref>
As of 2015 there were two robotic catheterization systems on the market for [[atrial fibrilation]]; one of them used magnetic guidance.<ref>{{cite journal |last1=Gerstenfeld |first1=EP |last2=Duggirala |first2=S |title=Atrial fibrillation ablation: indications, emerging techniques, and follow-up |journal=Progress in Cardiovascular Diseases |date=2015 |volume=58 |issue=2 |pages=202–12 |doi=10.1016/j.pcad.2015.07.008 |pmid=26241304}}</ref>


After long-term follow up, RMN navigation has been associated with better procedural and clinical outcomes for AF ablation when compared with manual catheter navigation for cardiac ablation.<ref>{{cite journal |last1=Yuan |first1=S |last2=Holmqvist |first2=F |last3=Kongstad |first3=O |last4=Jensen |first4=SM |last5=Wang |first5=L |last6=Ljungström |first6=E |last7=Hertervig |first7=E |last8=Borgquist |first8=R |title=Long-term outcomes of the current remote magnetic catheter navigation technique for ablation of atrial fibrillation |journal=Scandinavian Cardiovascular Journal |date=December 2017 |volume=51 |issue=6 |pages=308–315 |doi=10.1080/14017431.2017.1384566 |pmid=28958165}}</ref>
After long-term follow up, RMN navigation has been associated with better procedural and clinical outcomes for AF ablation when compared with manual catheter navigation for cardiac ablation.<ref>{{cite journal |last1=Yuan |first1=S |last2=Holmqvist |first2=F |last3=Kongstad |first3=O |last4=Jensen |first4=SM |last5=Wang |first5=L |last6=Ljungström |first6=E |last7=Hertervig |first7=E |last8=Borgquist |first8=R |title=Long-term outcomes of the current remote magnetic catheter navigation technique for ablation of atrial fibrillation |journal=Scandinavian Cardiovascular Journal |date=December 2017 |volume=51 |issue=6 |pages=308–315 |doi=10.1080/14017431.2017.1384566 |pmid=28958165|s2cid=25501499 }}</ref>


===Ventricular tachyardia===
===Ventricular tachycardia===
RMN has been shown to be safe and effective for cardiac catheter ablation in various patient populations with [[ventricular tachycardia]].<ref>{{cite journal |last1=Turagam |first1=MK |last2=Atkins |first2=D |last3=Tung |first3=R |last4=Mansour |first4=M |last5=Ruskin |first5=J |last6=Cheng |first6=J |last7=Di Biase |first7=L |last8=Natale |first8=A |last9=Lakkireddy |first9=D |title=A meta-analysis of manual versus remote magnetic navigation for ventricular tachycardia ablation |journal=Journal of Interventional Cardiac Electrophysiology |date=September 2017 |volume=49 |issue=3 |pages=227–235 |doi=10.1007/s10840-017-0257-3 |pmid=28624892}}</ref><ref>{{cite journal |last1=Akca |first1=F |last2=Önsesveren |first2=I |last3=Jordaens |first3=L |last4=Szili-Torok |first4=T |title=Safety and efficacy of the remote magnetic navigation for ablation of ventricular tachycardias--a systematic review |journal=Journal of Interventional Cardiac Electrophysiology |date=June 2012 |volume=34 |issue=1 |pages=65–71 |doi=10.1007/s10840-011-9645-2 |pmid=22180126|pmc=3342497 }}</ref>
RMN has been shown to be safe and effective for cardiac catheter ablation in various patient populations with [[ventricular tachycardia]].<ref>{{cite journal |last1=Turagam |first1=MK |last2=Atkins |first2=D |last3=Tung |first3=R |last4=Mansour |first4=M |last5=Ruskin |first5=J |last6=Cheng |first6=J |last7=Di Biase |first7=L |last8=Natale |first8=A |last9=Lakkireddy |first9=D |title=A meta-analysis of manual versus remote magnetic navigation for ventricular tachycardia ablation |journal=Journal of Interventional Cardiac Electrophysiology |date=September 2017 |volume=49 |issue=3 |pages=227–235 |doi=10.1007/s10840-017-0257-3 |pmid=28624892|s2cid=21925778 }}</ref><ref>{{cite journal |last1=Akca |first1=F |last2=Önsesveren |first2=I |last3=Jordaens |first3=L |last4=Szili-Torok |first4=T |title=Safety and efficacy of the remote magnetic navigation for ablation of ventricular tachycardias--a systematic review |journal=Journal of Interventional Cardiac Electrophysiology |date=June 2012 |volume=34 |issue=1 |pages=65–71 |doi=10.1007/s10840-011-9645-2 |pmid=22180126|pmc=3342497 }}</ref>


==References==
==References==

Latest revision as of 11:14, 30 April 2024

Robotic magnetic navigation (RMN) (also called remote magnetic navigation) uses robotic technology to direct magnetic fields which control the movement of magnetic-tipped endovascular catheters into and through the chambers of the heart during cardiac catheterization procedures.[1]

Devices

[edit]

Because the human heart beats during ablation procedures, catheter stability can be affected by navigation technique. Magnetic fields created by RMN technology guide the tip of a catheter using a “pull” mechanism of action (as opposed to “push” with manual catheter navigation). Magnetic catheter navigation has been associated with greater catheter stability.[2]

Medical use

[edit]

Atrial fibrilation

[edit]

As of 2015 there were two robotic catheterization systems on the market for atrial fibrilation; one of them used magnetic guidance.[3]

After long-term follow up, RMN navigation has been associated with better procedural and clinical outcomes for AF ablation when compared with manual catheter navigation for cardiac ablation.[4]

Ventricular tachycardia

[edit]

RMN has been shown to be safe and effective for cardiac catheter ablation in various patient populations with ventricular tachycardia.[5][6]

References

[edit]
  1. ^ Da Costa, A; Guichard, JB; Roméyer-Bouchard, C; Gerbay, A; Isaaz, K (2016). "Robotic magnetic navigation for ablation of human arrhythmias". Medical Devices: Evidence and Research. 9: 331–339. doi:10.2147/MDER.S96167. PMC 5034914. PMID 27698569.
  2. ^ Davis, DR; Tang, AS; Gollob, MH; Lemery, R; Green, MS; Birnie, DH (July 2008). "Remote magnetic navigation-assisted catheter ablation enhances catheter stability and ablation success with lower catheter temperatures". Pacing and Clinical Electrophysiology. 31 (7): 893–8. doi:10.1111/j.1540-8159.2008.01105.x. PMID 18684288. S2CID 19617848.
  3. ^ Gerstenfeld, EP; Duggirala, S (2015). "Atrial fibrillation ablation: indications, emerging techniques, and follow-up". Progress in Cardiovascular Diseases. 58 (2): 202–12. doi:10.1016/j.pcad.2015.07.008. PMID 26241304.
  4. ^ Yuan, S; Holmqvist, F; Kongstad, O; Jensen, SM; Wang, L; Ljungström, E; Hertervig, E; Borgquist, R (December 2017). "Long-term outcomes of the current remote magnetic catheter navigation technique for ablation of atrial fibrillation". Scandinavian Cardiovascular Journal. 51 (6): 308–315. doi:10.1080/14017431.2017.1384566. PMID 28958165. S2CID 25501499.
  5. ^ Turagam, MK; Atkins, D; Tung, R; Mansour, M; Ruskin, J; Cheng, J; Di Biase, L; Natale, A; Lakkireddy, D (September 2017). "A meta-analysis of manual versus remote magnetic navigation for ventricular tachycardia ablation". Journal of Interventional Cardiac Electrophysiology. 49 (3): 227–235. doi:10.1007/s10840-017-0257-3. PMID 28624892. S2CID 21925778.
  6. ^ Akca, F; Önsesveren, I; Jordaens, L; Szili-Torok, T (June 2012). "Safety and efficacy of the remote magnetic navigation for ablation of ventricular tachycardias--a systematic review". Journal of Interventional Cardiac Electrophysiology. 34 (1): 65–71. doi:10.1007/s10840-011-9645-2. PMC 3342497. PMID 22180126.
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