Ablation of atrial fibrillation utilizing robotic catheter navigation in comparison to manual navigation and ablation

Single-center experience

Luigi Di Biase, Yan Wang, Rodney Horton, G. Joseph Gallinghouse, Prasant Mohanty, Javier Sanchez, Dimpi Patel, Matthew Dare, Robert Canby, Larry D. Price, Jason D. Zagrodzky, Shane Bailey, J. David Burkhardt, Andrea Natale

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

Ablation of Atrial Fibrillation Utilizing Robotic Catheter Navigation. Background: Robotic catheter navigation and ablation either with magnetic catheter driving or with electromechanical guidance have emerged in the recent years for the treatment of atrial fibrillation. Objective: The aim of this study was to compare our center's experience of atrial fibrillation ablation using the Hansen Robotic Medical System with our current manual ablation technique in terms of acute and chronic success, as well as procedure time and radiation exposure to both the patient and the operator. Methods: A total of 390 consecutive patients with symptomatic and drug-resistant atrial fibrillation (289 males, 62 ± 11 years) were prospectively enrolled in the study. All patients underwent the procedure either with conventional manual ablation (group 1, n = 197) or with the robotic navigation system (RNS) (group 2, n = 193). Results: The success rate for RNS was 85% (164 patients), while for manual ablation it was 81% (159 patients) (p = 0.264) at 14.1 ± 1.3 months with AADs previously ineffective. Fluoroscopy time was significantly lower for RNS (48.9 ± 24.6 minutes for RNS vs. 58.4 ± 20.1 minutes for manual ablation, P < 0.001). Mean fluoroscopy time was statistically reduced after 50 procedures (61.8 ± 23.2 minutes for first 50 cases vs. 44.5 ± 23.6 minutes for subsequent procedures, P < 0.0001). Conclusion: Robotic navigation and ablation of atrial fibrillation is safe and effective. Fluoroscopy time decreases with experience. (J Cardiovasc Electrophysiol, Vol. 20, pp. 1328-1335, December 2009)

Original languageEnglish (US)
Pages (from-to)1328-1335
Number of pages8
JournalJournal of Cardiovascular Electrophysiology
Volume20
Issue number12
DOIs
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Robotics
Atrial Fibrillation
Catheters
Fluoroscopy
Ablation Techniques
Catheter Ablation
Pharmaceutical Preparations

Keywords

  • Atrial fibrillation
  • Catheter ablation
  • Catheter navigation
  • Outcomes
  • Robotic

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Ablation of atrial fibrillation utilizing robotic catheter navigation in comparison to manual navigation and ablation : Single-center experience. / Di Biase, Luigi; Wang, Yan; Horton, Rodney; Gallinghouse, G. Joseph; Mohanty, Prasant; Sanchez, Javier; Patel, Dimpi; Dare, Matthew; Canby, Robert; Price, Larry D.; Zagrodzky, Jason D.; Bailey, Shane; Burkhardt, J. David; Natale, Andrea.

In: Journal of Cardiovascular Electrophysiology, Vol. 20, No. 12, 12.2009, p. 1328-1335.

Research output: Contribution to journalArticle

Di Biase, L, Wang, Y, Horton, R, Gallinghouse, GJ, Mohanty, P, Sanchez, J, Patel, D, Dare, M, Canby, R, Price, LD, Zagrodzky, JD, Bailey, S, Burkhardt, JD & Natale, A 2009, 'Ablation of atrial fibrillation utilizing robotic catheter navigation in comparison to manual navigation and ablation: Single-center experience', Journal of Cardiovascular Electrophysiology, vol. 20, no. 12, pp. 1328-1335. https://doi.org/10.1111/j.1540-8167.2009.01570.x
Di Biase, Luigi ; Wang, Yan ; Horton, Rodney ; Gallinghouse, G. Joseph ; Mohanty, Prasant ; Sanchez, Javier ; Patel, Dimpi ; Dare, Matthew ; Canby, Robert ; Price, Larry D. ; Zagrodzky, Jason D. ; Bailey, Shane ; Burkhardt, J. David ; Natale, Andrea. / Ablation of atrial fibrillation utilizing robotic catheter navigation in comparison to manual navigation and ablation : Single-center experience. In: Journal of Cardiovascular Electrophysiology. 2009 ; Vol. 20, No. 12. pp. 1328-1335.
@article{b3b3142cdeed47fc804d947895255bdd,
title = "Ablation of atrial fibrillation utilizing robotic catheter navigation in comparison to manual navigation and ablation: Single-center experience",
abstract = "Ablation of Atrial Fibrillation Utilizing Robotic Catheter Navigation. Background: Robotic catheter navigation and ablation either with magnetic catheter driving or with electromechanical guidance have emerged in the recent years for the treatment of atrial fibrillation. Objective: The aim of this study was to compare our center's experience of atrial fibrillation ablation using the Hansen Robotic Medical System with our current manual ablation technique in terms of acute and chronic success, as well as procedure time and radiation exposure to both the patient and the operator. Methods: A total of 390 consecutive patients with symptomatic and drug-resistant atrial fibrillation (289 males, 62 ± 11 years) were prospectively enrolled in the study. All patients underwent the procedure either with conventional manual ablation (group 1, n = 197) or with the robotic navigation system (RNS) (group 2, n = 193). Results: The success rate for RNS was 85{\%} (164 patients), while for manual ablation it was 81{\%} (159 patients) (p = 0.264) at 14.1 ± 1.3 months with AADs previously ineffective. Fluoroscopy time was significantly lower for RNS (48.9 ± 24.6 minutes for RNS vs. 58.4 ± 20.1 minutes for manual ablation, P < 0.001). Mean fluoroscopy time was statistically reduced after 50 procedures (61.8 ± 23.2 minutes for first 50 cases vs. 44.5 ± 23.6 minutes for subsequent procedures, P < 0.0001). Conclusion: Robotic navigation and ablation of atrial fibrillation is safe and effective. Fluoroscopy time decreases with experience. (J Cardiovasc Electrophysiol, Vol. 20, pp. 1328-1335, December 2009)",
keywords = "Atrial fibrillation, Catheter ablation, Catheter navigation, Outcomes, Robotic",
author = "{Di Biase}, Luigi and Yan Wang and Rodney Horton and Gallinghouse, {G. Joseph} and Prasant Mohanty and Javier Sanchez and Dimpi Patel and Matthew Dare and Robert Canby and Price, {Larry D.} and Zagrodzky, {Jason D.} and Shane Bailey and Burkhardt, {J. David} and Andrea Natale",
year = "2009",
month = "12",
doi = "10.1111/j.1540-8167.2009.01570.x",
language = "English (US)",
volume = "20",
pages = "1328--1335",
journal = "Journal of Cardiovascular Electrophysiology",
issn = "1045-3873",
publisher = "Wiley-Blackwell",
number = "12",

}

TY - JOUR

T1 - Ablation of atrial fibrillation utilizing robotic catheter navigation in comparison to manual navigation and ablation

T2 - Single-center experience

AU - Di Biase, Luigi

AU - Wang, Yan

AU - Horton, Rodney

AU - Gallinghouse, G. Joseph

AU - Mohanty, Prasant

AU - Sanchez, Javier

AU - Patel, Dimpi

AU - Dare, Matthew

AU - Canby, Robert

AU - Price, Larry D.

AU - Zagrodzky, Jason D.

AU - Bailey, Shane

AU - Burkhardt, J. David

AU - Natale, Andrea

PY - 2009/12

Y1 - 2009/12

N2 - Ablation of Atrial Fibrillation Utilizing Robotic Catheter Navigation. Background: Robotic catheter navigation and ablation either with magnetic catheter driving or with electromechanical guidance have emerged in the recent years for the treatment of atrial fibrillation. Objective: The aim of this study was to compare our center's experience of atrial fibrillation ablation using the Hansen Robotic Medical System with our current manual ablation technique in terms of acute and chronic success, as well as procedure time and radiation exposure to both the patient and the operator. Methods: A total of 390 consecutive patients with symptomatic and drug-resistant atrial fibrillation (289 males, 62 ± 11 years) were prospectively enrolled in the study. All patients underwent the procedure either with conventional manual ablation (group 1, n = 197) or with the robotic navigation system (RNS) (group 2, n = 193). Results: The success rate for RNS was 85% (164 patients), while for manual ablation it was 81% (159 patients) (p = 0.264) at 14.1 ± 1.3 months with AADs previously ineffective. Fluoroscopy time was significantly lower for RNS (48.9 ± 24.6 minutes for RNS vs. 58.4 ± 20.1 minutes for manual ablation, P < 0.001). Mean fluoroscopy time was statistically reduced after 50 procedures (61.8 ± 23.2 minutes for first 50 cases vs. 44.5 ± 23.6 minutes for subsequent procedures, P < 0.0001). Conclusion: Robotic navigation and ablation of atrial fibrillation is safe and effective. Fluoroscopy time decreases with experience. (J Cardiovasc Electrophysiol, Vol. 20, pp. 1328-1335, December 2009)

AB - Ablation of Atrial Fibrillation Utilizing Robotic Catheter Navigation. Background: Robotic catheter navigation and ablation either with magnetic catheter driving or with electromechanical guidance have emerged in the recent years for the treatment of atrial fibrillation. Objective: The aim of this study was to compare our center's experience of atrial fibrillation ablation using the Hansen Robotic Medical System with our current manual ablation technique in terms of acute and chronic success, as well as procedure time and radiation exposure to both the patient and the operator. Methods: A total of 390 consecutive patients with symptomatic and drug-resistant atrial fibrillation (289 males, 62 ± 11 years) were prospectively enrolled in the study. All patients underwent the procedure either with conventional manual ablation (group 1, n = 197) or with the robotic navigation system (RNS) (group 2, n = 193). Results: The success rate for RNS was 85% (164 patients), while for manual ablation it was 81% (159 patients) (p = 0.264) at 14.1 ± 1.3 months with AADs previously ineffective. Fluoroscopy time was significantly lower for RNS (48.9 ± 24.6 minutes for RNS vs. 58.4 ± 20.1 minutes for manual ablation, P < 0.001). Mean fluoroscopy time was statistically reduced after 50 procedures (61.8 ± 23.2 minutes for first 50 cases vs. 44.5 ± 23.6 minutes for subsequent procedures, P < 0.0001). Conclusion: Robotic navigation and ablation of atrial fibrillation is safe and effective. Fluoroscopy time decreases with experience. (J Cardiovasc Electrophysiol, Vol. 20, pp. 1328-1335, December 2009)

KW - Atrial fibrillation

KW - Catheter ablation

KW - Catheter navigation

KW - Outcomes

KW - Robotic

UR - http://www.scopus.com/inward/record.url?scp=70450216054&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70450216054&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8167.2009.01570.x

DO - 10.1111/j.1540-8167.2009.01570.x

M3 - Article

VL - 20

SP - 1328

EP - 1335

JO - Journal of Cardiovascular Electrophysiology

JF - Journal of Cardiovascular Electrophysiology

SN - 1045-3873

IS - 12

ER -