ArticleClinical cardiology2022
Utilization of steerable sheath improves the efficiency of atrial fibrillation ablation guided by robotic magnetic navigation compared with fixed-curve sheath.
Article in Clinical cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 11 citations in OpenAlex.
- Clinical value of robot-assisted catheter navigation for cardiac electrophysiology ablation: current evidence and future directions.Journal of robotic surgery · 2026Review
- Investigating workload and usability of remote magnetic navigation for catheter ablation.International journal of computer assisted radiology and surgery · 2026Article
- Development and Evaluation of a Robotic System for Safe Cardiac Sheath Delivery.IEEE transactions on bio-medical engineering · 2025Article
- Improved procedural efficiency of atrial fibrillation ablation using robotic magnetic navigation.Heart rhythm O2 · 2025Article
- Comparison of safety and effectiveness of different sheaths in ablation of focal atrial tachycardia: a retrospective study.Journal of thoracic disease · 2024Article
- Clinical effectiveness and efficiency of a new steerable sheath technology for radiofrequency ablation in Chinese patients with atrial fibrillation: a retrospective comparative cohort study.Journal of thoracic disease · 2023Article
- Robotic magnetic navigation-guided pulmonary vein isolation in an atrial fibrillation patient with dextrocardia situs inversus: techniques and potential advantages.BMC cardiovascular disorders · 2023Article
- Current State of Robotics in Interventional Radiology.Cardiovascular and interventional radiology · 2023Review
- Steerable versus nonsteerable sheath technology in atrial fibrillation ablation: A systematic review and meta-analysis.Journal of arrhythmia · 2022Article
- Utilization of steerable sheath improves the efficiency of atrial fibrillation ablation guided by robotic magnetic navigation compared with fixed-curve sheath.Clinical cardiology · 2022Article
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe objective of this study was to assess the impact of steerable sheaths compared with fixed-curve sheaths on the procedural outcomes of atrial fibrillation (AF) ablation guided by robotic magnetic navigation (RMN). METHODS AND
resultsIn this retrospective case-control study, 110 patients scheduled for AF catheter ablation were enrolled and divided into two groups. Fifty-five patients (paroxysmal, 70%) were treated with RMN-guided ablation utilizing a steerable sheath and another 55 patients (paroxysmal, 70%) were ablated with RMN using a fixed-curve sheath. Clinical characteristics were similar between the two groups. Compared with the fixed-curve sheath group, the steerable sheath group procedure time (111.9 ± 25.2 vs. 90.4 ± 20.7 min, p < .001) and radiofrequency (RF) time (35.9 ± 9.0 vs. 30.5 ± 7.4 min, p < .001) were significantly shortened. Additionally, the navigation index was significantly improved (0.41 ± 0.06 vs. 0.48 ± 0.08, p < .001) in the steerable sheath group. By employing a large catheter loop for targeting the right pulmonary veins (PVs), the steerable sheath group significantly reduced the RF delivery time (15.0 ± 3.0 vs. 12.0 ± 2.1 min, p < .001) during right-side PV isolation (PVI). However, total fluoroscopy time was similar between the two groups (5.6 ± 2.6 vs. 5.0 ± 2.0 min, p > .05). Acute PVI success rates were similar between the two groups. No major or minor complications occurred in either group.
conclusionAppropriate utilization of steerable sheath technology can improve the efficiency of AF ablation guided by RMN, primarily by reducing the total procedure and RF delivery times of right-side PVI without compromising safety.
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