Literature DB >> 22554147

Catheter ablation of ventricular tachycardias using remote magnetic navigation: a consecutive case-control study.

Tamas Szili-Torok1, Bruno Schwagten, Ferdi Akca, Tamas Bauernfeind, Lara Dabiri Abkenari, David Haitsma, Yves Van Belle, Natasja D E Groot, Luc Jordaens.   

Abstract

UNLABELLED: Remote Magnetic Navigation for VT Ablation.
BACKGROUND: This study aimed to compare acute and late outcomes of VT ablation using the magnetic navigation system (MNS) to manual techniques (MAN) in patients with (SHD) and without (NSHD) structural heart disease.
METHODS: Ablation data of 113 consecutive patients (43 SHD, 70 NSHD) with ventricular tachycardia treated with catheter ablation at our center were analyzed. Success rate, complications, procedure, fluoroscopy, and ablation times, and recurrence rates were systematically recorded for all patients.
RESULTS: A total of 72 patients were included in the MNS group and 41 patients were included in the MAN group. Patient age, gender, and right ventricular and left ventricular VT were equally distributed. Acute success was achieved in 59 patients in the MNS group (82%) versus 27 (66%) patients in the MAN group (P = 0.046). Overall procedural time (177 ± 79 vs 232 ± 99 minutes, P < 0.01) and mean patient fluoroscopy time (27 ± 19 vs 56 ± 32 minutes, P < 0.001) were all significantly lower using MNS. In NSHD pts, higher acute success was achieved with MNS (83,7% vs 61.9%, P = 0.049), with shorter procedure times (151 ± 57 vs 210 ± 96, P = 0.011), whereas in SHD-VT these were not significantly different. No major complications occurred in the MNS group (0%) versus 1 cardiac tamponade and 1 significantly damaged ICD lead in the MAN group (4.9%, NS). After follow-up (20 ± 11 vs 20 ± 10 months, NS), VT recurred in 14 pts (23.7%) in the MNS group versus 12 pts (44.4%) in the MAN group (P = 0.047).
CONCLUSIONS: The use of MNS offers advantages for ablation of NSHD-VT, while it offers similar efficacy for SHD-VT. (J Cardiovasc Electrophysiol, Vol. 23, pp. 948-954, September 2012).
© 2012 Wiley Periodicals, Inc.

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Year:  2012        PMID: 22554147     DOI: 10.1111/j.1540-8167.2012.02340.x

Source DB:  PubMed          Journal:  J Cardiovasc Electrophysiol        ISSN: 1045-3873


  15 in total

1.  2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias.

Authors:  Edmond M Cronin; Frank M Bogun; Philippe Maury; Petr Peichl; Minglong Chen; Narayanan Namboodiri; Luis Aguinaga; Luiz Roberto Leite; Sana M Al-Khatib; Elad Anter; Antonio Berruezo; David J Callans; Mina K Chung; Phillip Cuculich; Andre d'Avila; Barbara J Deal; Paolo Della Bella; Thomas Deneke; Timm-Michael Dickfeld; Claudio Hadid; Haris M Haqqani; G Neal Kay; Rakesh Latchamsetty; Francis Marchlinski; John M Miller; Akihiko Nogami; Akash R Patel; Rajeev Kumar Pathak; Luis C Saenz Morales; Pasquale Santangeli; John L Sapp; Andrea Sarkozy; Kyoko Soejima; William G Stevenson; Usha B Tedrow; Wendy S Tzou; Niraj Varma; Katja Zeppenfeld
Journal:  J Interv Card Electrophysiol       Date:  2020-10       Impact factor: 1.900

2.  MAGNETIC VT study: a prospective, multicenter, post-market randomized controlled trial comparing VT ablation outcomes using remote magnetic navigation-guided substrate mapping and ablation versus manual approach in a low LVEF population.

Authors:  Luigi Di Biase; Roderick Tung; Tamás Szili-Torok; J David Burkhardt; Peter Weiss; Rene Tavernier; Adam E Berman; Erik Wissner; William Spear; Xu Chen; Petr Neužil; Jan Skoda; Dhanunjaya Lakkireddy; Bruno Schwagten; Ken Lock; Andrea Natale
Journal:  J Interv Card Electrophysiol       Date:  2017-01-07       Impact factor: 1.900

Review 3.  A meta-analysis of manual versus remote magnetic navigation for ventricular tachycardia ablation.

Authors:  Mohit K Turagam; Donita Atkins; Roderick Tung; Moussa Mansour; Jeremy Ruskin; Jie Cheng; Luigi Di Biase; Andrea Natale; Dhanunjaya Lakkireddy
Journal:  J Interv Card Electrophysiol       Date:  2017-06-17       Impact factor: 1.900

4.  Prediction and prognosis of ventricular tachycardia recurrence after catheter ablation with remote magnetic navigation for electrical storm in patients with ischemic cardiomyopathy.

Authors:  Qi Jin; Peter Karl Jacobsen; Steen Pehrson; Xu Chen
Journal:  Clin Cardiol       Date:  2017-08-17       Impact factor: 2.882

5.  2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias.

Authors:  Edmond M Cronin; Frank M Bogun; Philippe Maury; Petr Peichl; Minglong Chen; Narayanan Namboodiri; Luis Aguinaga; Luiz Roberto Leite; Sana M Al-Khatib; Elad Anter; Antonio Berruezo; David J Callans; Mina K Chung; Phillip Cuculich; Andre d'Avila; Barbara J Deal; Paolo Della Bella; Thomas Deneke; Timm-Michael Dickfeld; Claudio Hadid; Haris M Haqqani; G Neal Kay; Rakesh Latchamsetty; Francis Marchlinski; John M Miller; Akihiko Nogami; Akash R Patel; Rajeev Kumar Pathak; Luis C Sáenz Morales; Pasquale Santangeli; John L Sapp; Andrea Sarkozy; Kyoko Soejima; William G Stevenson; Usha B Tedrow; Wendy S Tzou; Niraj Varma; Katja Zeppenfeld
Journal:  Europace       Date:  2019-08-01       Impact factor: 5.214

6.  The First Evaluation of Remote Magnetic Navigation-Guided Pediatric Ventricular Arrhythmia Ablation.

Authors:  Anna M E Noten; Nawin L Ramdat Misier; Janneke A E Kammeraad; Sip Wijchers; Ingrid M Van Beynum; Michiel Dalinghaus; Thomas B Krasemann; Sing-Chien Yap; Natasja M S de Groot; Tamas Szili-Torok
Journal:  Pediatr Cardiol       Date:  2022-04-29       Impact factor: 1.838

7.  Comparison of remote magnetic navigation ablation and manual ablation of idiopathic ventricular arrhythmia after failed manual ablation.

Authors:  Mitsuharu Kawamura; Melvin M Scheinman; Zian H Tseng; Byron K Lee; Gregory M Marcus; Nitish Badhwar
Journal:  J Interv Card Electrophysiol       Date:  2016-06-17       Impact factor: 1.900

8.  Remote Navigation for Complex Arrhythmia.

Authors:  Irina Suman-Horduna; Sonya V Babu-Narayan; Sabine Ernst
Journal:  Arrhythm Electrophysiol Rev       Date:  2013-04

9.  Introducing a novel catheter-tissue contact feedback feature in robotic navigated catheter ablation: Utility, feasibility, and safety.

Authors:  Anna Maria Elisabeth Noten; Tamas Géczy; Sing-Chien Yap; Zsuzsanna Kis; Tamas Szili-Torok
Journal:  Heart Rhythm O2       Date:  2020-05-11

10.  Remote magnetic navigation vs. manual navigation for ablation of ventricular tachycardia: a meta-analysis.

Authors:  Y Wu; K-L Li; J Zheng; C-Y Zhang; X-Y Liu; Z-M Cui; Z-M Yu; R-X Wang; W Wang
Journal:  Neth Heart J       Date:  2015-09       Impact factor: 2.380

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