{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:18:28Z","timestamp":1790875108000,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Program from Clinical Research Center, Shanghai Jiao Tong University School of Medicine","award":["DLY201604"],"award-info":[{"award-number":["DLY201604"]}]},{"name":"Shanghai Municipal Education Commission-Gaofeng Clinical Medicine","award":["20161404"],"award-info":[{"award-number":["20161404"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Remote magnetic navigation (RMN)\u2010guided ablation has become an inspiring method of catheter ablation for tachyarrhythmias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>Data from a large\u2010scale single center may provide further insight into the safety of and the learning curve for RMN\u2010guided ablation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 1003 catheter ablation procedures using RMN for conditions including supraventricular ventricular tachycardia, atrial tachyarrhythmias, and premature ventricular contraction\/ventricular tachycardia (PVC\/VT) were retrospectively analyzed from an ablation registry. Procedural outcomes, including procedure time, mapping time, X\u2010ray time, and RF time, were assessed. The complications were classified into two categories: major and minor. A subanalysis was used to illustrate the learning curve of RMN\u2010guided ablation by assessing procedure time and total X\u2010ray time of 502 atrial fibrillation (AF) ablation procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among these procedures, 556 (55.4%) were AF and 290 (28.9%) were PVC\/VT. Electrical pulmonary vein isolation was achieved in 99.0% of AF procedures, and acute success reached 90.3% in PVC\/VT procedures. The overall complication rate was 0.5%. In the subanalysis of AF procedures, the overall procedure time and X\u2010ray time of procedures were short (125.9\u2009\u00b1\u200954.6 and 5.3\u2009\u00b1\u20093.9 minutes, respectively) and proceeded to decrease from the initial 30 procedures to about 300 procedures, where the learning curve reached plateau, demonstrating maximum procedure efficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RMN\u2010guided ablation is safe, as verified by very low overall complication rate and reduced X\u2010ray time. In our study, even the first AF procedures had a relatively low procedure time and total X\u2010ray time, and procedure efficiency improved during the learning curve.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.23391","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T14:06:00Z","timestamp":1590501960000},"page":"968-975","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Procedural outcomes and learning curve of cardiac arrhythmias catheter ablation using remote magnetic navigation: Experience from a large\u2010scale single\u2010center study"],"prefix":"10.1002","volume":"43","author":[{"given":"Xiang","family":"Li","sequence":"first","affiliation":[{"name":"Department of Cardiology, Shanghai Ruijin Hospital Shanghai Jiao Tong University School of Medicine  Shanghai 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