Da Costa Antoine, Guichard Jean Baptiste, Roméyer-Bouchard Cécile, Gerbay Antoine, Isaaz Karl
North Hospital, Cardiology Department University of Saint Etienne Jean Monnet, Saint Etienne Cedex 2, France.
Med Devices (Auckl). 2016 Sep 19;9:331-339. doi: 10.2147/MDER.S96167. eCollection 2016.
Radiofrequency treatment represents the first choice of treatment for arrhythmias, in particular complex arrhythmias and especially atrial fibrillation, due to the greater benefit/risk ratio compared to antiarrhythmic drugs. However, complex arrhythmias such as atrial fibrillation require long procedures with additional risks such as X-ray exposure or serious complications such as tamponade. Given this context, the treatment of arrhythmias using robotic magnetic navigation entails a technique well suited to complex arrhythmias on account of its efficacy, reliability, significant reduction in X-ray exposure for both patient and operator, as well as a very low risk of perforation. As ongoing developments will likely improve results and procedure times, this technology will become one of the most modern technologies for treating arrhythmias. Based on the literature, this review summarizes the advantages and limitations of robotic magnetic navigation for ablation of human arrhythmias.
与抗心律失常药物相比，由于射频治疗具有更高的效益/风险比，它是心律失常尤其是复杂心律失常（特别是心房颤动）的首选治疗方法。然而，诸如心房颤动等复杂心律失常需要较长的手术过程，还存在额外风险，如X射线暴露，或严重并发症，如心包填塞。鉴于此，使用机器人磁导航治疗心律失常是一种非常适合复杂心律失常的技术，因为它具有疗效、可靠性高，能显著减少患者和操作人员的X射线暴露，以及穿孔风险极低等优点。随着不断发展可能会改善治疗效果和缩短手术时间，这项技术将成为治疗心律失常的最现代技术之一。基于文献，本综述总结了机器人磁导航在人类心律失常消融治疗中的优点和局限性。
