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Best practices in robotic magnetic navigation-guided catheter ablation of cardiac arrhythmias, a position paper of the Society for Cardiac Robotic Navigation

Noten, Anna M.E. ; Szili-Torok, Tamas ; Ernst, Sabine ; Burkhardt, David ; Cavaco, Diogo ; Chen, Xu ; Cheung, Jim W. ; de Chillou, Christian ; Crystal, Eugene and Cooper, Daniel H. , et al. (2024) In Frontiers in Cardiovascular Medicine 11.
Abstract

Preamble: Robotic magnetic navigation (RMN)-guided catheter ablation (CA) technology has been used for the treatment of cardiac arrhythmias for almost 20 years. Various studies reported that RMN allows for high catheter stability, improved lesion formation and a superior safety profile. So far, no guidelines or recommendations on RMN-guided CA have been published. Purpose: The aim of this consensus paper was to summarize knowledge and provide recommendations on management of arrhythmias using RMN-guided CA as treatment of atrial fibrillation (AF) and ventricular arrhythmias (VA). Methodology: An expert writing group, performed a detailed review of available literature, and drawing on their own experience, drafted and voted on... (More)

Preamble: Robotic magnetic navigation (RMN)-guided catheter ablation (CA) technology has been used for the treatment of cardiac arrhythmias for almost 20 years. Various studies reported that RMN allows for high catheter stability, improved lesion formation and a superior safety profile. So far, no guidelines or recommendations on RMN-guided CA have been published. Purpose: The aim of this consensus paper was to summarize knowledge and provide recommendations on management of arrhythmias using RMN-guided CA as treatment of atrial fibrillation (AF) and ventricular arrhythmias (VA). Methodology: An expert writing group, performed a detailed review of available literature, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Recommendations on RMN-guided CA are presented in a guideline format with three levels of recommendations to serve as a reference for best practices in RMN procedures. Each recommendation is accompanied by supportive text and references. The various sections cover the practical spectrum from system and patient set-up, EP laboratory staffing, combination of RMN with fluoroscopy and mapping systems, use of automation features and ablation settings and targets, for different cardiac arrhythmias. Conclusion: This manuscript, presenting the combined experience of expert robotic users and knowledge from the available literature, offers a unique resource for providers interested in the use of RMN in the treatment of cardiac arrhythmias.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
atrial fibrillation, catheter ablation, premature ventricular beat, remote magnetic navigation, robotic magnetic navigation, robotic navigation, ventricular arrhythmia, ventricular tachycardia
in
Frontiers in Cardiovascular Medicine
volume
11
article number
1431396
publisher
Frontiers Media S. A.
external identifiers
  • scopus:85206361683
  • pmid:39399515
ISSN
2297-055X
DOI
10.3389/fcvm.2024.1431396
language
English
LU publication?
yes
id
07a1d51e-3329-4fb1-9728-d965a045a854
date added to LUP
2024-12-18 12:13:35
date last changed
2025-07-17 05:16:29
@article{07a1d51e-3329-4fb1-9728-d965a045a854,
  abstract     = {{<p>Preamble: Robotic magnetic navigation (RMN)-guided catheter ablation (CA) technology has been used for the treatment of cardiac arrhythmias for almost 20 years. Various studies reported that RMN allows for high catheter stability, improved lesion formation and a superior safety profile. So far, no guidelines or recommendations on RMN-guided CA have been published. Purpose: The aim of this consensus paper was to summarize knowledge and provide recommendations on management of arrhythmias using RMN-guided CA as treatment of atrial fibrillation (AF) and ventricular arrhythmias (VA). Methodology: An expert writing group, performed a detailed review of available literature, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Recommendations on RMN-guided CA are presented in a guideline format with three levels of recommendations to serve as a reference for best practices in RMN procedures. Each recommendation is accompanied by supportive text and references. The various sections cover the practical spectrum from system and patient set-up, EP laboratory staffing, combination of RMN with fluoroscopy and mapping systems, use of automation features and ablation settings and targets, for different cardiac arrhythmias. Conclusion: This manuscript, presenting the combined experience of expert robotic users and knowledge from the available literature, offers a unique resource for providers interested in the use of RMN in the treatment of cardiac arrhythmias.</p>}},
  author       = {{Noten, Anna M.E. and Szili-Torok, Tamas and Ernst, Sabine and Burkhardt, David and Cavaco, Diogo and Chen, Xu and Cheung, Jim W. and de Chillou, Christian and Crystal, Eugene and Cooper, Daniel H. and Gasparini, Maurizio and Geczy, Tamas and Goehl, Konrad and Hügl, Burkhard and Jin, Qi and Kampus, Priit and Kazemian, Pedram and Khan, Muchtiar and Kongstad, Ole and Magga, Jarkko and Peress, Darren and Raatikainen, Pekka and Romanov, Alexander and Rossvoll, Ole and Singh, Gurjit and Vatasescu, Radu and Wijchers, Sip and Yamashiro, Kohei and Yap, Sing Chien and Weiss, J. Peter}},
  issn         = {{2297-055X}},
  keywords     = {{atrial fibrillation; catheter ablation; premature ventricular beat; remote magnetic navigation; robotic magnetic navigation; robotic navigation; ventricular arrhythmia; ventricular tachycardia}},
  language     = {{eng}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Cardiovascular Medicine}},
  title        = {{Best practices in robotic magnetic navigation-guided catheter ablation of cardiac arrhythmias, a position paper of the Society for Cardiac Robotic Navigation}},
  url          = {{http://dx.doi.org/10.3389/fcvm.2024.1431396}},
  doi          = {{10.3389/fcvm.2024.1431396}},
  volume       = {{11}},
  year         = {{2024}},
}