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

Autor:	Noten AME; Department of Clinical Electrophysiology, Thorax Center, Erasmus Medical Center, Rotterdam, Netherlands., Szili-Torok T; Department of Internal Medicine, Cardiology Center, University of Szeged, Szeged, Hungary., Ernst S; Royal Brompton and Harefield NHS Foundation Trust, National Heart and Lung Institute, Imperial College London, London, United Kingdom., Burkhardt D; Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, United States., Cavaco D; Heart Rhythm Center, Hospital da Luz, Lisbon, Portugal., Chen X; Department of Cardiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark., Cheung JW; Division of Cardiology, Weill Cornell Medicine, NewYork Presbyterian Hospital, New York, NY, United States., de Chillou C; Department of Cardiology, CHU de Nancy, University Hospital Nancy, Nancy, France., Crystal E; Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada., Cooper DH; Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, United States., Gasparini M; Department of Cardiology, Humanitas University Hospital, Rozzano, Italy., Geczy T; Department of Internal Medicine, Division of Cardiology, Medical University of Graz, Graz, Austria., Goehl K; Department of Electrophysiology, Klinikum Nürnberg Süd, Nuremberg, Germany., Hügl B; Department of Cardiology and Rhythmology, Marienhaus Klinikum St. Elisabeth, Neuwied, Germany., Jin Q; Department of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China., Kampus P; Department of Cardiology, North Estonian Medical Centre, Tallinn, Estonia., Kazemian P; Deborah Heart and Lung Center, Browns Mills, NJ, United States., Khan M; Department of Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands., Kongstad O; Department of Cardiology, Lund University, Lund, Sweden., Magga J; Department of Cardiology, Oulu University Hospital, Oulu, Finland., Peress D; Pima Heart Physicians, PC, Tucson, AZ, United States., Raatikainen P; Heart and Lung Center, Helsinki University Central Hospital, Helsinki, Finland., Romanov A; E. Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russia., Rossvoll O; Department of Cardiology, St'Olavs University Hospital, Trondheim, Norway., Singh G; Division of Cardiology, Henry Ford Health System, Detroit, MI, United States., Vatasescu R; Cardiology Department, Clinical Emergency Hospital, Bucharest, Romania., Wijchers S; Department of Clinical Electrophysiology, Thorax Center, Erasmus Medical Center, Rotterdam, Netherlands., Yamashiro K; Heart Rhythm Center, Takatsuki General Hospital, Osaka, Japan., Yap SC; Department of Clinical Electrophysiology, Thorax Center, Erasmus Medical Center, Rotterdam, Netherlands., Weiss JP; Department of Cardiology, Banner University Medical Center, The University of Arizona College of Medicine-Phoenix, Phoenix, AZ, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in cardiovascular medicine [Front Cardiovasc Med] 2024 Sep 27; Vol. 11, pp. 1431396. Date of Electronic Publication: 2024 Sep 27 (Print Publication: 2024).
DOI:	10.3389/fcvm.2024.1431396
Abstrakt:	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. Competing Interests: The Erasmus MC has received research grants from Acutus Medical, Biosense Webster and Stereotaxis. TS-T has received an educational grant from Abbott, a contract for education and advisory activities with Biotronik and consultancy contract with Acutus Medical and Ablacon. SW has received honoraria from Biotronik en Daiichi Sankyo. S-CY has received a research grant from Medtronic and honoraria from Medtronic and Boston Scientific. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Noten, Szili-Torok, Ernst, Burkhardt, Cavaco, Chen, Cheung, de Chillou, Crystal, Cooper, Gasparini, Geczy, Goehl, Hügl, Jin, Kampus, Kazemian, Khan, Kongstad, Magga, Peress, Raatikainen, Romanov, Rossvoll, Singh, Vatasescu, Wijchers, Yamashiro, Yap and Weiss.)
Databáze:	MEDLINE
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