Comparison of atrial fibrillation ablation efficacy using remote magnetic navigation vs. manual navigation with contact-force control

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F20%3A00074097" target="_blank" >RIV/00159816:_____/20:00074097 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/20:00115173

Výsledek na webu

<a href="https://biomed.papers.upol.cz/pdfs/bio/2020/04/06.pdf" target="_blank" >https://biomed.papers.upol.cz/pdfs/bio/2020/04/06.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5507/bp.2019.045" target="_blank" >10.5507/bp.2019.045</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Comparison of atrial fibrillation ablation efficacy using remote magnetic navigation vs. manual navigation with contact-force control

Popis výsledku v původním jazyce

Aims. This study aims to compare procedural parameters and clinical efficacy of remote magnetic navigation (RMN) vs. manual navigation (MAN) approach for radiofrequency ablation (RFA) in patients with atrial fibrillation (AF). Methods. 146 patients with AF were enrolled in the study. In the RMN group (n=57), patients were treated with the CARTO (R) 3 in combination with the Niobe ES system. In the MAN group (n=89), ablation was performed with the EnSite Velocity and TactiCathT Quartz catheter with direct contact force measurement. Procedural time, ablation time, fluoroscopy time, radiation dose and ablation counts were measured and compared between the groups. Recurrence of AF was evaluated after 6 months of follow-up. Results. Mean procedure times (236.87 +/- 64.31 vs. 147.22 +/- 45.19 min, P&lt;0.05), counts of RF applications (74.30 +/- 24.77 vs. 49.15 +/- 20.33, P&lt;0.05) and total RFA times (4323.39 +/- 1426.69 vs. 2780.53 +/- 1157.85 s, P&lt;0.05) were all significantly higher in the RMN than in the MAN group, respectively. In the same order, mean X-ray dose (9722.6 +/- 7507.4 vs. 8087.9 +/- 6051.5 mGy/cm2, P=0.12) and mean total X-ray exposure time (8.07 +/- 4.20 vs. 9.54 +/- 5.47 min, P=0.08) were not statistically different. At 6-month follow-up, freedom from AF was similar in RMN and MAN group for paroxysmal (60.8% and 73%, respectively, P=0.42) and persistent AF (69.6% and 75.0%, respectively, P=0.77). Conclusions. Due to the fact that mid-term clinical outcomes showed no significant differences in AF recurrences between groups and manual ablation strategy provided more favorable results regarding acute procedural parameters, we can conclude that the remote magnetic navigation is not superior to the manual approach.

Název v anglickém jazyce

Comparison of atrial fibrillation ablation efficacy using remote magnetic navigation vs. manual navigation with contact-force control

Popis výsledku anglicky

Aims. This study aims to compare procedural parameters and clinical efficacy of remote magnetic navigation (RMN) vs. manual navigation (MAN) approach for radiofrequency ablation (RFA) in patients with atrial fibrillation (AF). Methods. 146 patients with AF were enrolled in the study. In the RMN group (n=57), patients were treated with the CARTO (R) 3 in combination with the Niobe ES system. In the MAN group (n=89), ablation was performed with the EnSite Velocity and TactiCathT Quartz catheter with direct contact force measurement. Procedural time, ablation time, fluoroscopy time, radiation dose and ablation counts were measured and compared between the groups. Recurrence of AF was evaluated after 6 months of follow-up. Results. Mean procedure times (236.87 +/- 64.31 vs. 147.22 +/- 45.19 min, P&lt;0.05), counts of RF applications (74.30 +/- 24.77 vs. 49.15 +/- 20.33, P&lt;0.05) and total RFA times (4323.39 +/- 1426.69 vs. 2780.53 +/- 1157.85 s, P&lt;0.05) were all significantly higher in the RMN than in the MAN group, respectively. In the same order, mean X-ray dose (9722.6 +/- 7507.4 vs. 8087.9 +/- 6051.5 mGy/cm2, P=0.12) and mean total X-ray exposure time (8.07 +/- 4.20 vs. 9.54 +/- 5.47 min, P=0.08) were not statistically different. At 6-month follow-up, freedom from AF was similar in RMN and MAN group for paroxysmal (60.8% and 73%, respectively, P=0.42) and persistent AF (69.6% and 75.0%, respectively, P=0.77). Conclusions. Due to the fact that mid-term clinical outcomes showed no significant differences in AF recurrences between groups and manual ablation strategy provided more favorable results regarding acute procedural parameters, we can conclude that the remote magnetic navigation is not superior to the manual approach.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

20602 - Medical laboratory technology (including laboratory samples analysis; diagnostic technologies) (Biomaterials to be 2.9 [physical characteristics of living material as related to medical implants, devices, sensors])

Projekt

Výsledek vznikl pri realizaci vícero projektů. Více informací v záložce Projekty.

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Biomedical papers

ISSN

1213-8118

e-ISSN

—

Svazek periodika

164

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

7

Strana od-do

387-393

Kód UT WoS článku

000604951200006

EID výsledku v databázi Scopus

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