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Feasibility of a novel mapping system combined with remote magnetic navigation for catheter ablation of premature ventricular contractions

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@article{c44af7e429074cd4a0f9259c4db2fba4,
title = "Feasibility of a novel mapping system combined with remote magnetic navigation for catheter ablation of premature ventricular contractions",
abstract = "Background: Remote magnetic navigation (RMN) is often used in combination with a 3-dimensional mapping system to perform catheter ablations. This study aim to investigate the feasibility and effectiveness of a novel 3D-mapping system, EnSite Precision, combined with RMN for catheter ablation of premature ventricular contractions (PVCs), and compared it to the procedures performed by CARTO3 with RMN.Methods: Forty-three consecutive PVC patients were either ablated with the guidance of EnSite Precision (n = 22) or CARTO (n = 21) navigated by RMN. Procedure-related details, acute and long-term success were assessed.Results: Patient characteristics between both the groups were similar (age: 47.1 ± 19.8 vs 47.1 ± 12.7, female: 63.6{\%} vs 57.1{\%}). No significant difference was found in the procedure time (99.5 ± 30.4 vs 92.9 ± 24.8 min, P = 0.436), mapping time (18.6 ± 12.8 vs 15.5 ± 10.2 min, P = 0.390), radiofrequency ablation time (333.4 ± 267.0 vs 469.3 ± 343.1 s, P = 0.154), fluoroscopy time (4.0 ± 1.9 vs 3.8 ± 2.0 min, P = 0.635), and X-ray dose (1.8 ± 1.4 vs 2.0 ± 1.2 Gycm2, P = 0.649) between the two groups. No significant procedural complication occurred in either group. In addition, there was no significant differences regarding the acute success rate (90.9{\%} vs 90.5{\%}, P = 0.961) and long-term success rate (86.4{\%} vs 81.0{\%}, P = 0.631) after 16.2 ± 6.2 months of follow-up between the two groups.Conclusions: RMN combined with EnSite Precision mapping system is effective and safe for catheter ablation of PVCs.",
keywords = "CARTO, EnSite Precision, premature ventricular contractions, remote magnetic navigation",
author = "Shipeng Dang and Christian Jons and Jacobsen, {Peter Karl} and Steen Pehrson and Xu Chen",
year = "2019",
month = "1",
day = "1",
doi = "10.1002/joa3.12157",
language = "English",
volume = "35",
pages = "244--251",
journal = "Journal of Arrhythmia",
issn = "1880-4276",
publisher = "John Wiley & Sons Inc.",
number = "2",

}

RIS

TY - JOUR

T1 - Feasibility of a novel mapping system combined with remote magnetic navigation for catheter ablation of premature ventricular contractions

AU - Dang, Shipeng

AU - Jons, Christian

AU - Jacobsen, Peter Karl

AU - Pehrson, Steen

AU - Chen, Xu

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Remote magnetic navigation (RMN) is often used in combination with a 3-dimensional mapping system to perform catheter ablations. This study aim to investigate the feasibility and effectiveness of a novel 3D-mapping system, EnSite Precision, combined with RMN for catheter ablation of premature ventricular contractions (PVCs), and compared it to the procedures performed by CARTO3 with RMN.Methods: Forty-three consecutive PVC patients were either ablated with the guidance of EnSite Precision (n = 22) or CARTO (n = 21) navigated by RMN. Procedure-related details, acute and long-term success were assessed.Results: Patient characteristics between both the groups were similar (age: 47.1 ± 19.8 vs 47.1 ± 12.7, female: 63.6% vs 57.1%). No significant difference was found in the procedure time (99.5 ± 30.4 vs 92.9 ± 24.8 min, P = 0.436), mapping time (18.6 ± 12.8 vs 15.5 ± 10.2 min, P = 0.390), radiofrequency ablation time (333.4 ± 267.0 vs 469.3 ± 343.1 s, P = 0.154), fluoroscopy time (4.0 ± 1.9 vs 3.8 ± 2.0 min, P = 0.635), and X-ray dose (1.8 ± 1.4 vs 2.0 ± 1.2 Gycm2, P = 0.649) between the two groups. No significant procedural complication occurred in either group. In addition, there was no significant differences regarding the acute success rate (90.9% vs 90.5%, P = 0.961) and long-term success rate (86.4% vs 81.0%, P = 0.631) after 16.2 ± 6.2 months of follow-up between the two groups.Conclusions: RMN combined with EnSite Precision mapping system is effective and safe for catheter ablation of PVCs.

AB - Background: Remote magnetic navigation (RMN) is often used in combination with a 3-dimensional mapping system to perform catheter ablations. This study aim to investigate the feasibility and effectiveness of a novel 3D-mapping system, EnSite Precision, combined with RMN for catheter ablation of premature ventricular contractions (PVCs), and compared it to the procedures performed by CARTO3 with RMN.Methods: Forty-three consecutive PVC patients were either ablated with the guidance of EnSite Precision (n = 22) or CARTO (n = 21) navigated by RMN. Procedure-related details, acute and long-term success were assessed.Results: Patient characteristics between both the groups were similar (age: 47.1 ± 19.8 vs 47.1 ± 12.7, female: 63.6% vs 57.1%). No significant difference was found in the procedure time (99.5 ± 30.4 vs 92.9 ± 24.8 min, P = 0.436), mapping time (18.6 ± 12.8 vs 15.5 ± 10.2 min, P = 0.390), radiofrequency ablation time (333.4 ± 267.0 vs 469.3 ± 343.1 s, P = 0.154), fluoroscopy time (4.0 ± 1.9 vs 3.8 ± 2.0 min, P = 0.635), and X-ray dose (1.8 ± 1.4 vs 2.0 ± 1.2 Gycm2, P = 0.649) between the two groups. No significant procedural complication occurred in either group. In addition, there was no significant differences regarding the acute success rate (90.9% vs 90.5%, P = 0.961) and long-term success rate (86.4% vs 81.0%, P = 0.631) after 16.2 ± 6.2 months of follow-up between the two groups.Conclusions: RMN combined with EnSite Precision mapping system is effective and safe for catheter ablation of PVCs.

KW - CARTO

KW - EnSite Precision

KW - premature ventricular contractions

KW - remote magnetic navigation

UR - http://www.scopus.com/inward/record.url?scp=85060944780&partnerID=8YFLogxK

U2 - 10.1002/joa3.12157

DO - 10.1002/joa3.12157

M3 - Journal article

VL - 35

SP - 244

EP - 251

JO - Journal of Arrhythmia

JF - Journal of Arrhythmia

SN - 1880-4276

IS - 2

ER -

ID: 57661979