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Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,752
Online ISSN 1827-1618
Chun K. R. J., Schulte-Hahn B., Windhorst V., Nowak B., Schmidt B.
Bethanien Cardiology Center, Medicine Clinic III, Markus Hospital, Frankfurt, Germany
Catheter ablation has been established as a potentially curative treatment modality for various arrhythmias. Over the past years, catheter ablation has progressed from focal ablation to complex ablations within a three-dimensional anatomy for the treatment of ventricular tachycardia or atrial fibrillation. Complex ablation relies on reproducible catheter navigation in conjunction with stable catheter position and contact force, which depends on the operators´ individual experience and manual skills. Therefore, it would be desirable that technical innovations pursue the goal to minimize the physician’s physical demands and exposure to scattered fluoroscopy, to improve catheter stability and, most importantly, to increase procedural safety. This review will discuss the role of remote controlled robotic navigation systems in catheter ablation with particular focus on safety, efficacy and novel applications.