Robotic assistance and general anaesthesia improve catheter stability and increase signal attenuation during atrial fibrillation ablation

Europace

Volumn 15, Issue 1, 2013, Pages 41-47

  Malcolme Lawes, Louisa C ^a,b   Lim, Phang Boon ^a,b   Koa Wing, Michael ^a,b   Whinnett, Zachary I ^a,b   Jamil Copley, Shahnaz ^a,b   Hayat, Sajad ^a,b   Francis, Darrel P ^a,b   Kojodjojo, Pipin ^a,b   Davies, D Wyn ^a,b   Peters, Nicholas S ^a,b   Kanagaratnam, Prapa ^a,b  

^a ST MARY S HOSPITAL   (United Kingdom)

^b NATIONAL HEART AND LUNG INSTITUTE   (United Kingdom)

Author keywords

Atrial fibrillation; Catheter ablation; Electrogram; Robotic

Indexed keywords

ADULT; AMPLITUDE MODULATION; ANATOMICAL VARIATION; ARTICLE; CATHETER ABLATION; CLINICAL ARTICLE; CONSCIOUS SEDATION; CONTROLLED STUDY; ELECTROGRAPHY; GENERAL ANESTHESIA; HEART ATRIUM FIBRILLATION; HUMAN; MANUAL PULMONARY VEIN ABLATION; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PULMONARY VEIN ISOLATION; RADIOFREQUENCY ABLATION; RANDOMIZED CONTROLLED TRIAL; ROBOTIC PULMONARY VEIN ABLATION; SIGNAL TRANSDUCTION; TREATMENT DURATION;

ANESTHESIA, GENERAL; ANESTHETICS, GENERAL; ATRIAL FIBRILLATION; CATHETER ABLATION; FEMALE; HEART CONDUCTION SYSTEM; HUMANS; MALE; MIDDLE AGED; PULMONARY VEINS; ROBOTICS; SURGERY, COMPUTER-ASSISTED; TREATMENT OUTCOME;

EID: 84871189550     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/eus244     Document Type: Article

References (25)

1. Haissaguerre M, Shah DC, Jais P, Hocini M, Yamane T, Deisenhofer I et al. Electrophysiological breakthroughs from the left atrium to the pulmonary veins. Circulation 2000;102:2463-5
2. Pappone C, Santinelli V, Manguso F, Vicedomini G, Gugliotta F, Augello G et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation. Circulation 2004;109:327-34 (Pubitemid 38133899)
3. Kowalski M, Grimes MM, Perez FJ, Kenigsberg DN, Koneru J, Kasirajan V et al. Histopathologic characterization of chronic radiofrequency ablation lesions for pulmonary vein isolation. J Am Coll Cardiol 2012;59:930-8
4. Willems S, Steven D, Servatius H, Hoffmann BA, Drewitz I, Mullerleile K et al. Persistence of pulmonary vein isolation after robotic remote-navigated ablation for atrial fibrillation and its relation to clinical outcome. J Cardiovasc Electrophysiol 2010;21:1079-84
5. Cappato R, Calkins H, Chen SA, Davies W, Iesaka Y, Kalman J et al. Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circulation 2005;111:1100-5 (Pubitemid 40365469)
6. Calkins H, Brugada J, Packer DL, Cappato R, Chen SA, Crijns HJ et al. HRS/EHRA/ ECAS expert Consensus Statement on catheter and surgical ablation of atrial fibrillation: Recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of atrial fibrillation. EP: europace. 2007;9:335-79
7. Kanagaratnam P, Koa-Wing M, Wallace DT, Goldenberg AS, Peters NS, Davies DW. Experience of robotic catheter ablation in humans using a novel remotely steerable catheter sheath. J Interv Card Electrophysiol 2008;21:19-26
8. Haines DE, Watson DD, Verow AF. Electrode radius predicts lesion radius during radiofrequency energy heating. Validation of a proposed thermodynamic model. Circ Res 1990;67:124-9 (Pubitemid 20223733)
9. Yokoyama K, Nakagawa H, Wittkampf FH, Pitha JV, Lazzara R, Jackman WM. Comparison of electrode cooling between internal and open irrigation in radiofrequency ablation lesion depth and incidence of thrombus and steam pop. Circulation 2006;113:11-9 (Pubitemid 43958483)
10. Koa-Wing M, Kojodjojo P, Malcolme-Lawes LC, Salukhe TV, Linton NW, Grogan AP et al. Robotically assisted ablation produces more rapid and greater signal attenuation than manual ablation. J Cardiovasc Electrophysiol 2009; 20:1398-404
11. Di Biase L, Wang Y, Horton R, Gallinghouse GJ, Mohanty P, Sanchez J et al. Ablation of atrial fibrillation utilizing robotic catheter navigation in comparison to manual navigation and ablation: Single-center experience. J Cardiovasc Electrophysiol 2009;20:1328-35
12. Saliba W, Reddy VY, Wazni O, Cummings JE, Burkhardt JD, Haissaguerre M et al. Atrial fibrillation ablation using a robotic catheter remote control system: Initial human experience and long-term follow-up results. J Am Coll Cardiol 2008; 51:2407-11 (Pubitemid 351815165)
13. Schmidt B, Tilz RR, Neven K, Julian Chun KR, Furnkranz A, Ouyang F. Remote robotic navigation and electroanatomical mapping for ablation of atrial fibrillation: Considerations for navigation and impact on procedural outcome. Circ Arrhythm Electrophysiol 2009;2:120-8
14. Wazni OM, Barrett C, Martin DO, Shaheen M, Tarakji K, Baranowski B et al. Experience with the Hansen robotic system for atrial fibrillation ablation - lessons learned and techniques modified: Hansen in the real world. J Cardiovasc Electrophysiol 2009;20:1193-6
15. Kautzner J, Peichl P, Cihak R, Wichterle D, Mlcochova H. Early experience with robotic navigation for catheter ablation of paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 2009;32(Suppl 1):S163-6
16. Saliba W, Cummings JE, Oh S, Zhang Y, Mazgalev TN, Schweikert RA et al. Novel robotic catheter remote control system: Feasibility and safety of transseptal puncture and endocardial catheter navigation. J Cardiovasc Electrophysiol 2006; 17:1102-5 (Pubitemid 44401570)
17. Kojodjojo P, Peters NS, Davies DW, Kanagaratnam P. Characterization of the electroanatomical substrate in human atrial fibrillation: The relationship between changes in atrial volume, refractoriness, wavefront propagation velocities, and AF burden. J Cardiovasc Electrophysiol 2007;18:269-75
18. Spach MS, Dolber PC. Relating extracellular potentials and their derivatives to anisotropic propagation at a microscopic level in human cardiac muscle. Evidence for electrical uncoupling of side-to-side fiber connections with increasing age. Circ Res 1986;58:356-71 (Pubitemid 16120759)
19. Bunch TJ, Day JD. Novel ablative approach for atrial fibrillation to decrease risk of esophageal injury. Heart Rhythm 2008;5:624-7
20. Sanchez JE, Kay GN, Benser ME, Hall JA, Walcott GP, Smith WM et al. Identification of transmural necrosis along a linear catheter ablation lesion during atrial fibrillation and sinus rhythm. J Interv Card Electrophysiol 2003;8:9-17 (Pubitemid 36356168)
21. Oral H, Pappone C, Chugh A, Good E, Bogun F, Pelosi F Jr et al. Circumferential pulmonary-vein ablation for chronic atrial fibrillation. N Engl J Med 2006; 354:934-41
22. Di Biase L, Conti S, Mohanty P, Bai R, Sanchez J, Walton D et al. General anesthesia reduces the prevalence of pulmonary vein reconnection during repeat ablation when compared with conscious sedation: Results from a randomized study. Heart Rhythm 2011;8:368-72
23. Pappone C, Oreto G, Rosanio S, Vicedomini G, Tocchi M, Gugliotta F et al. Atrial electroanatomic remodeling after circumferential radiofrequency pulmonary vein ablation: Efficacy of an anatomic approach in a large cohort of patients with atrial fibrillation. Circulation 2001;104:2539-44 (Pubitemid 33104790)
24. Lemola K, Oral H, Chugh A, Hall B, Cheung P, Han J et al. Pulmonary vein isolation as an end point for left atrial circumferential ablation of atrial fibrillation. J Am Coll Cardiol 2005;46:1060-6 (Pubitemid 41316516)
25. Di Biase L, Natale A, Barrett C, Tan C, Elayi CS, Ching CK et al. Relationship between catheter forces, lesion characteristics, 'popping', and char formation: Experience with robotic navigation system. J Cardiovasc Electrophysiol 2009; 20:436-40