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Magnetic assisted navigation in electrophysiology and cardiac resynchronisation: a review.

Thornton AS, Maximo Rivero-Ayerza M, Jordaens LJ - Indian Pacing Electrophysiol J (2006)

Bottom Line: The ability to steer extremely floppy catheters and guidewires may allow for these to be positioned safely in previously inaccessible areas of the heart.The integration of other new technology, such as image integration and electroanatomic mapping systems, should advance our abilities further.Although studies have shown the technology to be feasible, with the advantage to the physician of decreased radiation exposure, studies need to be performed to show additional benefit over standard techniques.

View Article: PubMed Central - PubMed

Affiliation: Clinical Electrophysiology, Thoraxcentre, Erasmus MC, Rotterdam, The Netherlands. a.thornton@erasmusmc.nl

ABSTRACT
Magnetic assisted navigation is a new innovation that may prove useful in catheter ablation of cardiac arrhythmias and cardiac resynchronization therapy. The ability to steer extremely floppy catheters and guidewires may allow for these to be positioned safely in previously inaccessible areas of the heart. The integration of other new technology, such as image integration and electroanatomic mapping systems, should advance our abilities further. Although studies have shown the technology to be feasible, with the advantage to the physician of decreased radiation exposure, studies need to be performed to show additional benefit over standard techniques.

No MeSH data available.


Related in: MedlinePlus

PAIEON - This image again shows the Navigant screen with the reconstruction overlaid on the radiographic images saved during the angiogram. The image above the LAO radiographic image shows the 3D reconstruction and the image above the RAO shows a fly-through image from the reconstruction. This is then used to navigate the magnetically enabled guidewire into the CS side branch. The other features which can be seen are aids to navigation.
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Related In: Results  -  Collection

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Figure 6: PAIEON - This image again shows the Navigant screen with the reconstruction overlaid on the radiographic images saved during the angiogram. The image above the LAO radiographic image shows the 3D reconstruction and the image above the RAO shows a fly-through image from the reconstruction. This is then used to navigate the magnetically enabled guidewire into the CS side branch. The other features which can be seen are aids to navigation.

Mentions: In the case of CRT or interventional coronary work PAIEON (Paieon, Haifa, Israel) (Figure 6) is a system which allows one to make a 3D reconstruction of a vessel from 2 or more radiographic views. Once this has been done virtual fly-though views can be generated which, after registration of the catheter tip on the image, assist in navigation of the catheter up to and into a side branch os.


Magnetic assisted navigation in electrophysiology and cardiac resynchronisation: a review.

Thornton AS, Maximo Rivero-Ayerza M, Jordaens LJ - Indian Pacing Electrophysiol J (2006)

PAIEON - This image again shows the Navigant screen with the reconstruction overlaid on the radiographic images saved during the angiogram. The image above the LAO radiographic image shows the 3D reconstruction and the image above the RAO shows a fly-through image from the reconstruction. This is then used to navigate the magnetically enabled guidewire into the CS side branch. The other features which can be seen are aids to navigation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC1586159&req=5

Figure 6: PAIEON - This image again shows the Navigant screen with the reconstruction overlaid on the radiographic images saved during the angiogram. The image above the LAO radiographic image shows the 3D reconstruction and the image above the RAO shows a fly-through image from the reconstruction. This is then used to navigate the magnetically enabled guidewire into the CS side branch. The other features which can be seen are aids to navigation.
Mentions: In the case of CRT or interventional coronary work PAIEON (Paieon, Haifa, Israel) (Figure 6) is a system which allows one to make a 3D reconstruction of a vessel from 2 or more radiographic views. Once this has been done virtual fly-though views can be generated which, after registration of the catheter tip on the image, assist in navigation of the catheter up to and into a side branch os.

Bottom Line: The ability to steer extremely floppy catheters and guidewires may allow for these to be positioned safely in previously inaccessible areas of the heart.The integration of other new technology, such as image integration and electroanatomic mapping systems, should advance our abilities further.Although studies have shown the technology to be feasible, with the advantage to the physician of decreased radiation exposure, studies need to be performed to show additional benefit over standard techniques.

View Article: PubMed Central - PubMed

Affiliation: Clinical Electrophysiology, Thoraxcentre, Erasmus MC, Rotterdam, The Netherlands. a.thornton@erasmusmc.nl

ABSTRACT
Magnetic assisted navigation is a new innovation that may prove useful in catheter ablation of cardiac arrhythmias and cardiac resynchronization therapy. The ability to steer extremely floppy catheters and guidewires may allow for these to be positioned safely in previously inaccessible areas of the heart. The integration of other new technology, such as image integration and electroanatomic mapping systems, should advance our abilities further. Although studies have shown the technology to be feasible, with the advantage to the physician of decreased radiation exposure, studies need to be performed to show additional benefit over standard techniques.

No MeSH data available.


Related in: MedlinePlus