ArticleJournal of atrial fibrillation
Robotic navigation shows superior improvement in efficiency for atrial fibrillation ablation.
Article in Journal of atrial fibrillation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Comparison of Single-Freezing Temperature-Guided and Conventional Time-to-Isolation-Guided Protocols of Cryoballoon in Atrial Fibrillation Ablation.Cardiology research · 2026Article
- Optimal power settings have major impact on procedural efficiency in pulmonary vein isolation guided by robotic magnetic navigation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Optimizing the management of electrophysiology labs in Chinese hospitals using a discrete event simulation tool.BMC health services research · 2024Article
- The performance of dipole charge density mapping integrated with robotic magnetic navigation in the treatment of atrial tachycardias.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023Article
- Dipole charge density mapping integrated in remote magnetic navigation: First-in-human feasibility study.International journal of cardiology. Heart & vasculature · 2022Article
- Remote magnetic navigation shows superior long-term outcomes in pediatric atrioventricular (nodal) tachycardia ablation compared to manual radiofrequency and cryoablation.International journal of cardiology. Heart & vasculature · 2021Article
- Atrial Fibrillation Ablation Using Robotic Magnetic Navigation Reduces the Incidence of Silent Cerebral Embolism.Frontiers in cardiovascular medicine · 2021Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundBecause of the expanding atrial fibrillation (AF) burden, AF catheter ablation (CA) techniques have to become more efficient. Efficient AF CA procedures are characterized by successful pulmonary vein isolation (PVI) within reasonable procedure time. Currently there are many PVI techniques available and all show substantial improvements over time. However, the magnitude of improvement in procedural efficiency has not yet been compared between different techniques. The aim of this study was to compare efficiency improvement between manually (MAN) guided, cryoballoon (CB) and remote magnetic navigation (RMN) guided PVI.
methodsA total of 221 patients were included in this retrospective study. Procedural parameters of 115 patients treated with first-generation PVI techniques (MAN-1, CB-1, RMN-1) performed in 2010, were compared to 106 patients who were treated with the latest, second generation techniques (MAN-2, CB-2, RMN-2). Efficiency was characterized by the following parameters: total ablation time, total procedure time, first pass isolation (FPI) (i.e. successful isolation after the first pulmonary vein (PV) encirclement) and touch-up rates.
resultsEvery technique showed significant improvement of procedure times from the first to the second generation (P<0.001). In-between second generation techniques, the procedure times were comparable. The greatest magnitude of procedure time improvement was observed within the RMN groups (∆-180min), which was significantly greater compared to CB (∆-48 min, P<0.001) and MAN (∆-98min, P=0.011) groups. The highest FPI rates were observed in RMN-2 (78% and 74%; left and right PVs respectively), which was significantly higher compared to other techniques (MAN-2: 24% and 24%; CB-2: 50% and 48%; P<0.001).
conclusionsThe highest magnitude of efficiency improvement was detected in RMN guided PVI.
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