Worldwide experience with the robotic navigation system in catheter ablation of atrial fibrillation: Methodology, efficacy and safety

Rong Bai, Luigi Di Biase, Miguel Valderrabano, Faizel Lorgat, Hanka Mlcochova, Roland Tilz, Udo Meyerfeldt, Patrick M. Hranitzky, Oussama Wazni, Prapa Kanagaratnam, Rahul N. Doshi, Douglas Gibson, André Pisapia, Prasant Mohanty, Walid Saliba, Feifan Ouyang, Josef Kautzner, G. Joseph Gallinghouse, Andrea Natale

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

Worldwide Survey on Robotic AF Ablation. Introduction: The Hansen Robotic system has been utilized in ablation procedures for atrial fibrillation (AF). However, because of the lack of tactile feedback and the rigidity of the robotic sheath, this approach could result in higher risk of complications. This worldwide survey reports a multicenter experience on the methodology, efficacy, and safety of the Hansen system in AF ablations. Methods and Results: A questionnaire addressing questions on patient's demographics, procedural parameters, ablation success rate and safety information was sent to all centers where more than 50 robotic AF ablation cases have been performed. From June 2007 to December 2009, 1,728 procedures were performed at 12 centers utilizing the Hansen robotic navigation technology. The overall complication rate was 4.7% and the success rate was 67.1% after 18 ± 4 months of follow-up. In 5 low volume centers there appeared to be a learning curve of about 50 cases (complication rate 11.2% for the first 50 cases vs 3.7% for the 51-100 cases; P = 0.044) and a trend showing a decrease of complication rate with increasing case volume. However, in the remaining 7 centers no learning curve was present and the complication rate was stable over time (3.7% for the first 50 cases vs 3.6% for the 51st case thereafter; P = 0.942). Conclusion: The Hansen robotic system can be used for AF ablation safely. In low volume centers, there appeared to be a learning curve of the first 50 cases after which the complication rate decreased. With a higher case volume, the success rate increased.

Original languageEnglish (US)
Pages (from-to)820-826
Number of pages7
JournalJournal of cardiovascular electrophysiology
Volume23
Issue number8
DOIs
StatePublished - Aug 1 2012
Externally publishedYes

Keywords

  • atrial fibrillation
  • catheter ablation
  • remote
  • robotic navigation
  • safety

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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    Bai, R., Di Biase, L., Valderrabano, M., Lorgat, F., Mlcochova, H., Tilz, R., Meyerfeldt, U., Hranitzky, P. M., Wazni, O., Kanagaratnam, P., Doshi, R. N., Gibson, D., Pisapia, A., Mohanty, P., Saliba, W., Ouyang, F., Kautzner, J., Gallinghouse, G. J., & Natale, A. (2012). Worldwide experience with the robotic navigation system in catheter ablation of atrial fibrillation: Methodology, efficacy and safety. Journal of cardiovascular electrophysiology, 23(8), 820-826. https://doi.org/10.1111/j.1540-8167.2012.02316.x