Robotic magnetic navigation: Difference between revisions
→Ventricular tachyardia: university websites are not reliable for content about health per MEDRS; page doesn't mention this approach |
|||
Line 6: | Line 6: | ||
==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> |
|||
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 : SCJ |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 : SCJ |date=December 2017 |volume=51 |issue=6 |pages=308–315 |doi=10.1080/14017431.2017.1384566 |pmid=28958165}}</ref> |
Revision as of 15:58, 20 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.[1]
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.[2]
Medical use
Atrial fibrilation
As of 2015 there were two robotic catherization 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 tachyardia
RMN has been shown to be safe and effective for cardiac catheter ablation in various patient populations with ventricular tachycardia.[5][6]
References
- ^ Da Costa, A; Guichard, JB; Roméyer-Bouchard, C; Gerbay, A; Isaaz, K (2016). "Robotic magnetic navigation for ablation of human arrhythmias". Medical devices (Auckland, N.Z.). 9: 331–339. doi:10.2147/MDER.S96167. PMID 27698569.
{{cite journal}}
: CS1 maint: unflagged free DOI (link) - ^ 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 : PACE. 31 (7): 893–8. doi:10.1111/j.1540-8159.2008.01105.x. PMID 18684288.
- ^ 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.
- ^ 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 : SCJ. 51 (6): 308–315. doi:10.1080/14017431.2017.1384566. PMID 28958165.
- ^ 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 : an international journal of arrhythmias and pacing. 49 (3): 227–235. doi:10.1007/s10840-017-0257-3. PMID 28624892.
- ^ 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 : an international journal of arrhythmias and pacing. 34 (1): 65–71. doi:10.1007/s10840-011-9645-2. PMID 22180126.