Magnetic and robotic catheter navigation

John M. Miller, Mark A. Dixon, Deepak Bhakta, Rahul Jain, Mithilesh K. Das

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations

Abstract

Catheter ablation for treatment of atrial fibrillation and associated arrhythmias has become a very common procedure in the electrophysiology laboratory. Remote magnetic navigation (RMN) of catheters uses operator-designated changes in magnetic fields centered on the patient's torso to deflect and maintain the position of an electrode at the end of a mapping/ ablation catheter. Catheters can also be maneuvered by nonmagnetic, robotic manipulation of the catheter tip. Remote catheter manipulation decreases operator fluoroscopic exposure and fatigue, but the advantages do not benefit the patient and staff in the procedure room. Procedure duration appears to be somewhat longer with magnetic as opposed to manual catheter movement, with tradeoff benefits of more precise electrode movement, more consistent electrode tissue contact, and almost nonexistent perforation or steam pop risk. Newer technologies for remote catheter manipulation may further improve procedure times and outcomes and lower fluoroscopic exposure while improving efficiency.

Original languageEnglish (US)
Title of host publicationPractical Guide to Catheter Ablation of Atrial Fibrillation
Subtitle of host publicationSecond Edition
PublisherWiley-Blackwell
Pages75-84
Number of pages10
ISBN (Electronic)9781118658369
ISBN (Print)9781118658505
DOIs
StatePublished - Dec 5 2015

Keywords

  • Arrhythmias
  • Catheter ablation
  • Remote magnetic navigation
  • Robotic catheter navigation

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Miller, J. M., Dixon, M. A., Bhakta, D., Jain, R., & Das, M. K. (2015). Magnetic and robotic catheter navigation. In Practical Guide to Catheter Ablation of Atrial Fibrillation: Second Edition (pp. 75-84). Wiley-Blackwell. https://doi.org/10.1002/9781118658369.ch08