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Reduced fluoroscopy during atrial fibrillation ablation: benefits of robotic guided navigation

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Reduced fluoroscopy during atrial fibrillation ablation: benefits of robotic guided navigation. / Steven, Daniel; Servatius, Helge; Rostock, Thomas; Hoffmann, Boris; Drewitz, Imke; Müllerleile, Kai; Sultan, Arian; Aydin, Muhammet Ali; Meinertz, Thomas; Willems, Stephan.

In: J CARDIOVASC ELECTR, Vol. 21, No. 1, 01.2010, p. 6-12.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Steven, D, Servatius, H, Rostock, T, Hoffmann, B, Drewitz, I, Müllerleile, K, Sultan, A, Aydin, MA, Meinertz, T & Willems, S 2010, 'Reduced fluoroscopy during atrial fibrillation ablation: benefits of robotic guided navigation', J CARDIOVASC ELECTR, vol. 21, no. 1, pp. 6-12. https://doi.org/10.1111/j.1540-8167.2009.01592.x

APA

Steven, D., Servatius, H., Rostock, T., Hoffmann, B., Drewitz, I., Müllerleile, K., Sultan, A., Aydin, M. A., Meinertz, T., & Willems, S. (2010). Reduced fluoroscopy during atrial fibrillation ablation: benefits of robotic guided navigation. J CARDIOVASC ELECTR, 21(1), 6-12. https://doi.org/10.1111/j.1540-8167.2009.01592.x

Vancouver

Steven D, Servatius H, Rostock T, Hoffmann B, Drewitz I, Müllerleile K et al. Reduced fluoroscopy during atrial fibrillation ablation: benefits of robotic guided navigation. J CARDIOVASC ELECTR. 2010 Jan;21(1):6-12. https://doi.org/10.1111/j.1540-8167.2009.01592.x

Bibtex

@article{3811e36a46de4e6191ad720a8b718ec1,
title = "Reduced fluoroscopy during atrial fibrillation ablation: benefits of robotic guided navigation",
abstract = "BACKGROUND: Recently, a nonmagnetic robotic navigation system (RN, Hansen-Sensei) has been introduced for remote catheter manipulation.OBJECTIVE: To investigate the influence of RN combined with intuitive 3-dimensional mapping on the fluoroscopy exposure to operator and patient during pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (PAF) in a prospective randomized trial.METHODS: Sixty patients were randomly assigned to undergo PVI either using a RN guided (group 1; n = 30, 20 male, 62 +/- 7.7 years) or conventional ablation approach (group 2; n = 30, 14 male, 61 +/- 7.6 years). A 3-dimensional mapping system (NavX) was used in both groups.RESULTS: Electrical disconnection of the ipsilateral pulmonary veins (PVs) was achieved in all patients. Use of RN significantly lowered the overall fluoroscopy time (9 +/- 3.4 vs 22 +/- 6.5 minutes; P < 0.001) and reduced the operator's fluoroscopy exposure (7 +/- 2.1 vs 22 +/- 6.5 minutes; P < 0.001). The difference in fluoroscopy duration between both groups was most pronounced during the ablation part of the procedure (3 +/- 2.4 vs 17 +/- 6.3 minutes; P < 0.001). The overall procedure duration tended to be prolonged using RN without reaching statistical significance (156 +/- 44.4 vs 134 +/- 12 minutes, P = 0.099). No difference regarding outcome was found during a midterm follow-up of 6 months (AF freedom group 1 = 73% vs 77% in group 2 [P = 0.345]).CONCLUSION: The use of RN for PVI seems to be effective and significantly reduces overall fluoroscopy time and operator's fluoroscopy exposure without affecting mid-term outcome after 6-month follow-up.",
keywords = "Atrial Fibrillation/diagnostic imaging, Body Surface Potential Mapping/methods, Catheter Ablation/methods, Female, Humans, Male, Middle Aged, Radiation Dosage, Radiography, Robotics/methods, Surgery, Computer-Assisted/methods, Treatment Outcome",
author = "Daniel Steven and Helge Servatius and Thomas Rostock and Boris Hoffmann and Imke Drewitz and Kai M{\"u}llerleile and Arian Sultan and Aydin, {Muhammet Ali} and Thomas Meinertz and Stephan Willems",
year = "2010",
month = jan,
doi = "10.1111/j.1540-8167.2009.01592.x",
language = "English",
volume = "21",
pages = "6--12",
journal = "J CARDIOVASC ELECTR",
issn = "1045-3873",
publisher = "Wiley-Blackwell",
number = "1",

}

RIS

TY - JOUR

T1 - Reduced fluoroscopy during atrial fibrillation ablation: benefits of robotic guided navigation

AU - Steven, Daniel

AU - Servatius, Helge

AU - Rostock, Thomas

AU - Hoffmann, Boris

AU - Drewitz, Imke

AU - Müllerleile, Kai

AU - Sultan, Arian

AU - Aydin, Muhammet Ali

AU - Meinertz, Thomas

AU - Willems, Stephan

PY - 2010/1

Y1 - 2010/1

N2 - BACKGROUND: Recently, a nonmagnetic robotic navigation system (RN, Hansen-Sensei) has been introduced for remote catheter manipulation.OBJECTIVE: To investigate the influence of RN combined with intuitive 3-dimensional mapping on the fluoroscopy exposure to operator and patient during pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (PAF) in a prospective randomized trial.METHODS: Sixty patients were randomly assigned to undergo PVI either using a RN guided (group 1; n = 30, 20 male, 62 +/- 7.7 years) or conventional ablation approach (group 2; n = 30, 14 male, 61 +/- 7.6 years). A 3-dimensional mapping system (NavX) was used in both groups.RESULTS: Electrical disconnection of the ipsilateral pulmonary veins (PVs) was achieved in all patients. Use of RN significantly lowered the overall fluoroscopy time (9 +/- 3.4 vs 22 +/- 6.5 minutes; P < 0.001) and reduced the operator's fluoroscopy exposure (7 +/- 2.1 vs 22 +/- 6.5 minutes; P < 0.001). The difference in fluoroscopy duration between both groups was most pronounced during the ablation part of the procedure (3 +/- 2.4 vs 17 +/- 6.3 minutes; P < 0.001). The overall procedure duration tended to be prolonged using RN without reaching statistical significance (156 +/- 44.4 vs 134 +/- 12 minutes, P = 0.099). No difference regarding outcome was found during a midterm follow-up of 6 months (AF freedom group 1 = 73% vs 77% in group 2 [P = 0.345]).CONCLUSION: The use of RN for PVI seems to be effective and significantly reduces overall fluoroscopy time and operator's fluoroscopy exposure without affecting mid-term outcome after 6-month follow-up.

AB - BACKGROUND: Recently, a nonmagnetic robotic navigation system (RN, Hansen-Sensei) has been introduced for remote catheter manipulation.OBJECTIVE: To investigate the influence of RN combined with intuitive 3-dimensional mapping on the fluoroscopy exposure to operator and patient during pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (PAF) in a prospective randomized trial.METHODS: Sixty patients were randomly assigned to undergo PVI either using a RN guided (group 1; n = 30, 20 male, 62 +/- 7.7 years) or conventional ablation approach (group 2; n = 30, 14 male, 61 +/- 7.6 years). A 3-dimensional mapping system (NavX) was used in both groups.RESULTS: Electrical disconnection of the ipsilateral pulmonary veins (PVs) was achieved in all patients. Use of RN significantly lowered the overall fluoroscopy time (9 +/- 3.4 vs 22 +/- 6.5 minutes; P < 0.001) and reduced the operator's fluoroscopy exposure (7 +/- 2.1 vs 22 +/- 6.5 minutes; P < 0.001). The difference in fluoroscopy duration between both groups was most pronounced during the ablation part of the procedure (3 +/- 2.4 vs 17 +/- 6.3 minutes; P < 0.001). The overall procedure duration tended to be prolonged using RN without reaching statistical significance (156 +/- 44.4 vs 134 +/- 12 minutes, P = 0.099). No difference regarding outcome was found during a midterm follow-up of 6 months (AF freedom group 1 = 73% vs 77% in group 2 [P = 0.345]).CONCLUSION: The use of RN for PVI seems to be effective and significantly reduces overall fluoroscopy time and operator's fluoroscopy exposure without affecting mid-term outcome after 6-month follow-up.

KW - Atrial Fibrillation/diagnostic imaging

KW - Body Surface Potential Mapping/methods

KW - Catheter Ablation/methods

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Radiation Dosage

KW - Radiography

KW - Robotics/methods

KW - Surgery, Computer-Assisted/methods

KW - Treatment Outcome

U2 - 10.1111/j.1540-8167.2009.01592.x

DO - 10.1111/j.1540-8167.2009.01592.x

M3 - SCORING: Journal article

C2 - 19793149

VL - 21

SP - 6

EP - 12

JO - J CARDIOVASC ELECTR

JF - J CARDIOVASC ELECTR

SN - 1045-3873

IS - 1

ER -