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Remotely controlled steerable sheath improves result and procedural parameters of atrial fibrillation ablation with magnetic navigation.

Errahmouni A, Latcu DG, Bun SS, Rijo N, Dugourd C, Saoudi N - Europace (2015)

Bottom Line: No complication occurred in RSh group.During follow-up, there were five recurrences (11%) in RSh group and 11 (29%) in CAS group (P = 0.027).Right PV isolation is faster, RF delivery time and procedure time are reduced.

View Article: PubMed Central - PubMed

Affiliation: Cardiologie, Centre Hospitalier Princesse Grace, Avenue Pasteur 98000, Monaco a.errahmouni@gmail.com.

No MeSH data available.


Related in: MedlinePlus

(A) Final setup of the arms of the V-Drive Duo (with V-CAS Deflect and V-Loop) at the sheath insertion site. (B) The V-Drive controller that allows remote manipulation of the ablation catheter, its sheath and of the lasso.
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EUU388F4: (A) Final setup of the arms of the V-Drive Duo (with V-CAS Deflect and V-Loop) at the sheath insertion site. (B) The V-Drive controller that allows remote manipulation of the ablation catheter, its sheath and of the lasso.

Mentions: The MN system was described elsewhere.2 In brief, the MN consists of two permanent giant magnets, positioned on both sides of the fluoroscopy table (Axiom Artis, Siemens, Germany), and creating a steerable computer-controlled magnetic field of an intensity of 0.08 or 0.1 tesla (T). The soft magnetic catheters equipped with three magnets near its distal tip tend to be aligned to the direction of the magnetic field. A catheter advancement system allows remote push and pull movements of the catheter and its sheath. Two versions of this system were compared in this study: a CAS (Quick-CAS, Stx; Figure 3), and a catheter advancement system that fully controls both the catheter and a robotic deflectable sheath (V-CAS Deflect, Stx). Full remote control is also available for the variable diameter steerable circular catheter by means of another disposable (V-Loop, Stx). V-CAS Deflect and the V-Loop are connected to one/two robotic arms (V-Drive or V-Drive Duo, Figure 4A). Complete remote manoeuvring of all the components is performed via a controller (V-Drive Controller, Figure 4B).Figure 3


Remotely controlled steerable sheath improves result and procedural parameters of atrial fibrillation ablation with magnetic navigation.

Errahmouni A, Latcu DG, Bun SS, Rijo N, Dugourd C, Saoudi N - Europace (2015)

(A) Final setup of the arms of the V-Drive Duo (with V-CAS Deflect and V-Loop) at the sheath insertion site. (B) The V-Drive controller that allows remote manipulation of the ablation catheter, its sheath and of the lasso.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4482286&req=5

EUU388F4: (A) Final setup of the arms of the V-Drive Duo (with V-CAS Deflect and V-Loop) at the sheath insertion site. (B) The V-Drive controller that allows remote manipulation of the ablation catheter, its sheath and of the lasso.
Mentions: The MN system was described elsewhere.2 In brief, the MN consists of two permanent giant magnets, positioned on both sides of the fluoroscopy table (Axiom Artis, Siemens, Germany), and creating a steerable computer-controlled magnetic field of an intensity of 0.08 or 0.1 tesla (T). The soft magnetic catheters equipped with three magnets near its distal tip tend to be aligned to the direction of the magnetic field. A catheter advancement system allows remote push and pull movements of the catheter and its sheath. Two versions of this system were compared in this study: a CAS (Quick-CAS, Stx; Figure 3), and a catheter advancement system that fully controls both the catheter and a robotic deflectable sheath (V-CAS Deflect, Stx). Full remote control is also available for the variable diameter steerable circular catheter by means of another disposable (V-Loop, Stx). V-CAS Deflect and the V-Loop are connected to one/two robotic arms (V-Drive or V-Drive Duo, Figure 4A). Complete remote manoeuvring of all the components is performed via a controller (V-Drive Controller, Figure 4B).Figure 3

Bottom Line: No complication occurred in RSh group.During follow-up, there were five recurrences (11%) in RSh group and 11 (29%) in CAS group (P = 0.027).Right PV isolation is faster, RF delivery time and procedure time are reduced.

View Article: PubMed Central - PubMed

Affiliation: Cardiologie, Centre Hospitalier Princesse Grace, Avenue Pasteur 98000, Monaco a.errahmouni@gmail.com.

No MeSH data available.


Related in: MedlinePlus