Back to Search
Start Over
A Comparison of Remote Magnetic Irrigated Tip Ablation versus Manual Catheter Irrigated Tip Catheter Ablation With and Without Force Sensing Feedback.
- Source :
-
Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2016 Mar; Vol. 27 Suppl 1, pp. S5-S10. - Publication Year :
- 2016
-
Abstract
- Background: Remote magnetic navigation (RMN) and contact force (CF) sensing technologies have been utilized in an effort to improve safety and efficacy of catheter ablation. A comparative analysis of the relative short- and long-term outcomes of AF patients has not been performed. As such, we comparatively evaluated the safety and efficacy of these technologies.<br />Methods: A total of 627 patients who underwent catheter ablation with either a manual irrigated tip catheter: (312, 49.8%) or by RMN: (315, 50.2%) were included in this single-center cohort study. Patients treated with CF (59) were analyzed separately as well. One- and 3-year endpoints included death, HF hospitalization, stroke, TIA, and atrial flutter or AF recurrence.<br />Results: Age averaged 65.1 ± 10.7 years and 64.1% male. One- and 3-year endpoints of death, HF hospitalization, stroke, TIA, and atrial flutter or AF recurrence were statistically similar between manual and RMN treated groups. Fluoroscopy times were significantly lower in the RMN group compared to the manual ablation group (8.47 ± 0.45 vs. 9.63 ± 4.06 minutes, P < 0.0001). CF guided patients had 1-year recurrence rate of AF/atrial flutter statistically identical to patients treated with RMN (36.8% vs. 38.6%; P = 1.00).<br />Conclusion: RMN results in outcomes similar to manual navigation. The addition of CF sensing catheters did not improve relative procedural outcome or safety profile in comparison to RMN guided ablation in this large observational study of AF ablation.<br /> (© 2016 Wiley Periodicals, Inc.)
- Subjects :
- Aged
Atrial Fibrillation diagnosis
Cohort Studies
Equipment Design instrumentation
Equipment Design methods
Female
Follow-Up Studies
Humans
Male
Middle Aged
Retrospective Studies
Robotic Surgical Procedures instrumentation
Stereotaxic Techniques instrumentation
Treatment Outcome
Atrial Fibrillation surgery
Catheter Ablation instrumentation
Catheter Ablation methods
Magnetic Phenomena
Robotic Surgical Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1540-8167
- Volume :
- 27 Suppl 1
- Database :
- MEDLINE
- Journal :
- Journal of cardiovascular electrophysiology
- Publication Type :
- Academic Journal
- Accession number :
- 26969224
- Full Text :
- https://doi.org/10.1111/jce.12901