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导管消融——机器人技术的新进展。

Catheter ablation - new developments in robotics.

作者信息

Chun K R Julian, Schmidt Boris, Köktürk Bülent, Tilz Roland, Fürnkranz Alexander, Konstantinidou Melanie, Wissner Erik, Metzner Andreas, Ouyang Feifan, Kuck Karl-Heinz

机构信息

Department of Medicine II, Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany.

出版信息

Herz. 2008 Dec;33(8):586-9. doi: 10.1007/s00059-008-3180-7.

DOI:10.1007/s00059-008-3180-7
PMID:19137249
Abstract

Catheter ablation has become the curative treatment modality for various arrhythmias. Extending the indications for catheter ablation from simple supraventricular tachycardias to complex arrhythmias such as ventricular tachycardia or atrial fibrillation, the investigator faces prolonged procedure times, fluoroscopy exposure and the need for stable and reproducible catheter movement. Recently, remote-controlled robotic catheter ablation has emerged as a novel ablation concept to meet these requirements. This review describes the two available robotic ablation systems and summarizes their clinical applications and current human experience.

摘要

导管消融已成为治疗各种心律失常的有效方法。随着导管消融的适应症从简单的室上性心动过速扩展到诸如室性心动过速或心房颤动等复杂心律失常,研究人员面临着手术时间延长、透视暴露以及对稳定且可重复的导管移动的需求。最近,遥控机器人导管消融作为一种新的消融概念应运而生,以满足这些需求。本文综述了两种可用的机器人消融系统,并总结了它们的临床应用和当前的人体经验。

相似文献

1
Catheter ablation - new developments in robotics.导管消融——机器人技术的新进展。
Herz. 2008 Dec;33(8):586-9. doi: 10.1007/s00059-008-3180-7.
2
Value of robotic navigation and ablation.机器人导航与消融的价值。
Minerva Cardioangiol. 2010 Dec;58(6):649-56.
3
Experience of robotic catheter ablation in humans using a novel remotely steerable catheter sheath.使用新型远程可控导管鞘进行人体机器人导管消融的经验。
J Interv Card Electrophysiol. 2008 Jan;21(1):19-26. doi: 10.1007/s10840-007-9184-z. Epub 2008 Jan 18.
4
New technologies and therapies for cardiac arrhythmias.心律失常的新技术与治疗方法。
Minerva Cardioangiol. 2010 Dec;58(6):731-40.
5
Robotic navigation and ablation.机器人导航与消融
Minerva Cardioangiol. 2010 Dec;58(6):691-9.
6
Comparison of the safety and feasibility of arrhythmia ablation using the Amigo Robotic Remote Catheter System versus manual ablation.比较使用 Amigo 机器人远程导管系统与手动消融进行心律失常消融的安全性和可行性。
Am J Cardiol. 2014 Mar 1;113(5):827-31. doi: 10.1016/j.amjcard.2013.11.030. Epub 2013 Dec 12.
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Robotic magnetic navigation for ablation of human arrhythmias: initial experience.用于人类心律失常消融的机器人磁导航:初步经验。
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Arrhythmia ablation using the Amigo Robotic Remote Catheter System versus manual ablation: One year follow-up results.使用Amigo机器人远程导管系统进行心律失常消融与手动消融的比较:一年随访结果。
Int J Cardiol. 2016 Jan 1;202:877-8. doi: 10.1016/j.ijcard.2015.10.049. Epub 2015 Oct 9.
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Remote magnetic navigation and arrhythmia ablation.远程磁导航与心律失常消融。
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High-tech catheter ablation: worth the cost?高科技导管消融术:物有所值吗?
Arch Cardiovasc Dis. 2009 May;102(5):381-3. doi: 10.1016/j.acvd.2009.03.009. Epub 2009 May 14.

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Magnetic propulsion and ultrasound tracking of endovascular devices.血管内装置的磁驱动与超声跟踪
J Robot Surg. 2012 Mar;6(1):5-12. doi: 10.1007/s11701-011-0332-1. Epub 2011 Dec 28.
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Pseudo-Rigid-Body Model and Kinematic Analysis of MRI-Actuated Catheters.磁共振成像驱动导管的伪刚体模型及运动学分析
IEEE Int Conf Robot Autom. 2015 May;2015:2263-2243. doi: 10.1109/ICRA.2015.7139495.
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Design and performance evaluation of a master controller for endovascular catheterization.用于血管内导管插入术的主控制器的设计与性能评估

本文引用的文献

1
Atrial fibrillation ablation using a robotic catheter remote control system: initial human experience and long-term follow-up results.使用机器人导管遥控系统进行心房颤动消融:首例人体经验及长期随访结果
J Am Coll Cardiol. 2008 Jun 24;51(25):2407-11. doi: 10.1016/j.jacc.2008.03.027.
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Experience of robotic catheter ablation in humans using a novel remotely steerable catheter sheath.使用新型远程可控导管鞘进行人体机器人导管消融的经验。
J Interv Card Electrophysiol. 2008 Jan;21(1):19-26. doi: 10.1007/s10840-007-9184-z. Epub 2008 Jan 18.
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Remote magnetic navigation: human experience in pulmonary vein ablation.
Int J Comput Assist Radiol Surg. 2016 Jan;11(1):119-31. doi: 10.1007/s11548-015-1211-4. Epub 2015 Jun 13.
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Task-Space Motion Planning of MRI-Actuated Catheters for Catheter Ablation of Atrial Fibrillation.用于心房颤动导管消融的磁共振成像驱动导管的任务空间运动规划
Rep U S. 2014 Sep;2014:3476-3482. doi: 10.1109/IROS.2014.6943047.
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A novel four-wire-driven robotic catheter for radio-frequency ablation treatment.一种用于射频消融治疗的新型四线驱动机器人导管。
Int J Comput Assist Radiol Surg. 2014 Sep;9(5):867-74. doi: 10.1007/s11548-014-0982-3. Epub 2014 Feb 8.
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An engineering view on megatrends in radiology: digitization to quantitative tools of medicine.医学影像学的大趋势:从数字化到医学定量工具的工程视角。
Korean J Radiol. 2013 Mar-Apr;14(2):139-53. doi: 10.3348/kjr.2013.14.2.139. Epub 2013 Feb 22.
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Robotically controlled ablation for atrial fibrillation: the first real-world experience in Africa with the Hansen robotic system.机器人控制的房颤消融术:非洲地区使用汉森机器人系统的首次真实世界经验。
Cardiovasc J Afr. 2012 Jun;23(5):274-80. doi: 10.5830/CVJA-2012-015. Epub 2012 Mar 23.
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[Atrial fibrillation -- a rhythmic problem with growing significance].[心房颤动——一个日益重要的节律问题]
Herz. 2008 Dec;33(8):547. doi: 10.1007/s00059-008-3190-5.
远程磁导航:肺静脉消融的人体经验
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4
Remote magnetic navigation to guide endocardial and epicardial catheter mapping of scar-related ventricular tachycardia.远程磁导航引导与瘢痕相关的室性心动过速的心内膜和心外膜导管标测。
Circulation. 2007 Mar 13;115(10):1191-200. doi: 10.1161/CIRCULATIONAHA.106.672162. Epub 2007 Feb 12.
5
Remote-controlled catheter ablation of accessory pathways: results from the magnetic laboratory.遥控导管消融治疗旁路传导径路:磁性实验室的研究结果
Eur Heart J. 2007 Jan;28(2):190-5. doi: 10.1093/eurheartj/ehl447. Epub 2007 Jan 11.
6
Novel robotic catheter remote control system: feasibility and safety of transseptal puncture and endocardial catheter navigation.新型机器人导管远程控制系统:经房间隔穿刺及心内膜导管导航的可行性与安全性
J Cardiovasc Electrophysiol. 2006 Oct;17(10):1102-5. doi: 10.1111/j.1540-8167.2006.00556.x. Epub 2006 Jul 18.
7
Remote magnetic navigation for mapping and ablating right ventricular outflow tract tachycardia.用于标测和消融右心室流出道心动过速的远程磁导航
Heart Rhythm. 2006 Jun;3(6):691-6. doi: 10.1016/j.hrthm.2006.01.028. Epub 2006 Feb 28.
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Robotic magnetic navigation for atrial fibrillation ablation.用于心房颤动消融的机器人磁导航
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Early experience with a computerized robotically controlled catheter system.计算机化机器人控制导管系统的早期经验。
J Interv Card Electrophysiol. 2005 Apr;12(3):199-202. doi: 10.1007/s10840-005-0325-y.
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Complete isolation of left atrium surrounding the pulmonary veins: new insights from the double-Lasso technique in paroxysmal atrial fibrillation.围绕肺静脉的左心房完全隔离:阵发性心房颤动中双套索技术的新见解
Circulation. 2004 Oct 12;110(15):2090-6. doi: 10.1161/01.CIR.0000144459.37455.EE. Epub 2004 Oct 4.