Universität zu Köln

van den Bruck, Jan-Hendrik ORCID: 0000-0003-0468-4887, Sultan, Arian, Lueker, Jakob, Thomas, Dierk, Willems, Stephan, Weinmann, Kai, Kuniss, Malte, Hochadel, Matthias, Senges, Jochen, Andresen, Dietrich, Brachmann, Johannes, Kuck, Karl-Heinz, Tilz, Roland and Steven, Daniel (2019). Remote vs. conventional navigation for catheter ablation of atrial fibrillation: insights from prospective registry data. Clin. Res. Cardiol., 108 (3). S. 298 - 309. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1861-0692

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Abstract

BackgroundRobotic (RNS) or magnetic navigation systems (MNS) are available for remotely performed catheter ablation for atrial fibrillation (AF).ObjectiveThe present study compares remotely assisted catheter navigation (RAN) to standard manual navigation (SMN) and both systems amongst each other.MethodsThe analysis is based on a sub-cohort enrolled by five hospitals from the multicenter German ablation Registry.ResultsOut of 2442 patients receiving catheter ablation of AF, 267 (age 61.410.4, 69.7% male) were treated using RAN (RNS n=187, 7.7% vs. MNS n=80, 3.3%). Fluoroscopy time [RNS median 17 (IQR 12-25) min vs. MNS 22 (16-32) min; p<0.001] and procedure duration [RNS 180 (145-220) min vs. MNS 265 (210-305) min; p<0.001] were significantly different. Comparing RAN (11%) to SMN (89%) fluoroscopy time (RAN 19 (13-27) min, vs. SMN 25 (16-40) min; p<0.001), energy delivery (RAN 3168 (2280-3840) s vs. SMN 2640 (IQR 1799-3900) s; p=0.008) and procedure duration [RAN 195 (150-255) min vs. SMN 150 (120-150) min; p=0.001] differed significantly. In terms of acute and 12months outcome, no differences were seen between the two systems or in comparison to SMN.ConclusionAF ablation can be performed safely, with high acute success rates using RAN. RNS results in less fluoroscopy burden and shorter procedure durations. Compared to SMN, a reduced fluoroscopy burden, prolonged procedure and ablation duration were observed using RAN. Overall, the number of RAN procedures is small suggesting low impact on clinical routine of AF ablation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code van den Bruck, Jan-Hendrik UNSPECIFIED orcid.org/0000-0003-0468-4887 UNSPECIFIED Sultan, Arian UNSPECIFIED UNSPECIFIED UNSPECIFIED Lueker, Jakob UNSPECIFIED UNSPECIFIED UNSPECIFIED Thomas, Dierk UNSPECIFIED UNSPECIFIED UNSPECIFIED Willems, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Weinmann, Kai UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuniss, Malte UNSPECIFIED UNSPECIFIED UNSPECIFIED Hochadel, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Senges, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED Andresen, Dietrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Brachmann, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuck, Karl-Heinz UNSPECIFIED UNSPECIFIED UNSPECIFIED Tilz, Roland UNSPECIFIED UNSPECIFIED UNSPECIFIED Steven, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-155825
DOI:	10.1007/s00392-018-1356-6
Journal or Publication Title:	Clin. Res. Cardiol.
Volume:	108
Number:	3
Page Range:	S. 298 - 309
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1861-0692
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PULMONARY VEIN ISOLATION; MAGNETIC NAVIGATION; ROBOTIC NAVIGATION; GUIDED CATHETER; EXPERIENCE; SYSTEM; IMPACT; TRIAL; RISK Multiple languages Cardiac & Cardiovascular Systems Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15582