Novel robotic catheter remote control system: feasibility and safety of transseptal puncture and endocardial catheter navigation

Cited 115 time in Web of Science Cited 128 time in Scopus

Saliba, Walid; Cummings, Jennifer E; Oh, Seil; Zhang, Youhua; Mazgalev, Todor N; Schweikert, Robert A; Burkhardt, J David; Natale, Andrea

Issue Date
Blackwell Publishing
J Cardiovasc Electrophysiol. 2006 Oct;17(10):1102-5. Epub 2006 Jul 18.
AnimalsCatheter Ablation/adverse effects/*instrumentation/methodsDogsEndocardium/surgery/ultrasonographyEquipment DesignEquipment Failure AnalysisEquipment SafetyFeasibility StudiesHeart Catheterization/adverse effects/*instrumentation/methodsHeart Injuries/etiology/ultrasonographyHeart Septum/surgery/ultrasonographyPilot ProjectsPunctures/adverse effects/*instrumentation/methodsRobotics/*instrumentation/methodsSurgery, Computer-Assisted/*instrumentation/methodsTelemedicine/*instrumentation/methods
OBJECTIVES: The aims of this study were to demonstrate the safety and the feasibility of the robotic catheter remote control system (CCS) in endocardial navigation in all cardiac chambers, as well as facilitation of the transseptal puncture. BACKGROUND: CCS has been developed to facilitate control and precise positioning of catheters within the cardiovascular system. METHODS: CCS consists of a remote catheter manipulator, a set up joint, a physician workstation, and a steerable guide catheter (SGC) and sheath. A conventional 4-mm tip catheter was inserted through the SGC to perform mapping of five predefined targets in each cardiac chamber. Seven mongrel dogs were used in this study. Intracardiac echocardiography and three-dimensional (3-D) electroanatomical mapping were integrated with CCS to facilitate catheter manipulation and to guide transseptal puncture. The time to complete the transseptal puncture and the time to complete access to the predefined targets in each cardiac chamber were measured. Gross and microscopic examinations of the accessed and ablation sites were performed to evaluate safety. RESULTS: Transseptal puncture was performed successfully in all animals with a mean time of 7 +/- 3 minutes. Procedure times to access the five targets in the right atrium, right ventricle, left atrium, and left ventricle were 5.6 +/- 1.7, 4.6 +/- 1.5, 13.5 +/- 11.0, 7.0 +/- 2.9 minutes, respectively. There were no intracardiac damages associated with catheter manipulation noted in the excised hearts. CONCLUSIONS: Endocardial catheter navigation and mapping using the robotic catheter remote control is safe and feasible. Moreover, the CCS could be used to perform transseptal puncture and left atrial instrumentation.
1540-8167 (Electronic)
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College of Medicine/School of Medicine (의과대학/대학원)Molecular and Genomic Medicine (분자유전체의학전공)Journal Papers (저널논문_분자유전체의학전공)
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