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Europace 2008 10(Supplement 3):iii57-iii61; doi:10.1093/europace/eun234
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

This article appears in the following Europace issue: Spotlight Issue: Cardiac Imaging in EP and CRT [View the issue table of contents]

IMAGING IN CATHETER ABLATION FOR AF

Remote navigation systems in electrophysiology

Boris Schmidt*, Kyoung Ryul Julian Chun, Roland R. Tilz, Buelent Koektuerk, Feifan Ouyang and Karl-Heinz Kuck

Hanseatic Heart Center, Asklepios Klinik St Georg, Lohmühlenstr. 5, 20099 Hamburg, Germany

Today, atrial fibrillation (AF) is the dominant indication for catheter ablation in big electrophysiologists (EP) centres. AF ablation strategies are complex and technically challenging. Therefore, it would be desirable that technical innovations pursue the goal to improve catheter stability to increase the procedural success and most importantly to increase safety by helping to avoid serious complications. The most promising technical innovation aiming at the aforementioned goals is remote catheter navigation and ablation. To date, two different systems, the NIOBETM magnetic navigation system (MNS, Stereotaxis, USA) and the SenseiTM robotic navigation system (RNS, Hansen Medical, USA), are commercially available. The following review will introduce the basic principles of the systems, will give an insight into the merits and demerits of remote navigation, and will further focus on the initial clinical experience at our centre with focus on pulmonary vein isolation (PVI) procedures.

Key Words: Robotic, Magnetic, Remote navigation, Atrial fibrillation, Ablation

* Corresponding author. Tel: +49 40 181885 4487; fax: +49 40 181885 4435. E-mail address: bor.schmidt{at}asklepios.com


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