{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T04:34:25Z","timestamp":1776400465832,"version":"3.51.2"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2009,9,28]],"date-time":"2009-09-28T00:00:00Z","timestamp":1254096000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:p> <jats:bold>Reduced Fluoroscopy in PVI Using RN.<\/jats:bold>\u2002<jats:italic>Background:<\/jats:italic> Recently, a nonmagnetic robotic navigation system (RN, Hansen\u2010Sensei\u2122) has been introduced for remote catheter manipulation.<\/jats:p><jats:p> <jats:italic>Objective:<\/jats:italic> To investigate the influence of RN combined with intuitive 3\u2010dimensional mapping on the fluoroscopy exposure to operator and patient during pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (PAF) in a prospective randomized trial.<\/jats:p><jats:p> <jats:italic>Methods:<\/jats:italic> Sixty patients were randomly assigned to undergo PVI either using a RN guided (group 1; n = 30, 20 male, 62 \u00b1 7.7 years) or conventional ablation approach (group 2; n = 30, 14 male, 61 \u00b1 7.6 years). A 3\u2010dimensional mapping system (NavX\u2122) was used in both groups.<\/jats:p><jats:p> <jats:italic>Results:<\/jats:italic> Electrical disconnection of the ipsilateral pulmonary veins (PVs) was achieved in all patients. Use of RN significantly lowered the overall fluoroscopy time (9 \u00b1 3.4 vs 22 \u00b1 6.5 minutes; P &lt; 0.001) and reduced the operator's fluoroscopy exposure (7 \u00b1 2.1 vs 22 \u00b1 6.5 minutes; P &lt; 0.001). The difference in fluoroscopy duration between both groups was most pronounced during the ablation part of the procedure (3 \u00b1 2.4 vs 17 \u00b1 6.3 minutes; P &lt; 0.001). The overall procedure duration tended to be prolonged using RN without reaching statistical significance (156 \u00b1 44.4 vs 134 \u00b1 12 minutes, P = 0.099). No difference regarding outcome was found during a midterm follow\u2010up of 6 months (AF freedom group 1 = 73% vs 77% in group 2 [P = 0.345]).<\/jats:p><jats:p> <jats:italic>Conclusion:<\/jats:italic> The use of RN for PVI seems to be effective and significantly reduces overall fluoroscopy time and operator's fluoroscopy exposure without affecting mid\u2010term outcome after 6\u2010month follow\u2010up. <jats:italic>(J Cardiovasc Electrophysiol, Vol. 21, pp. 6\u201312, January 2010)<\/jats:italic><\/jats:p>","DOI":"10.1111\/j.1540-8167.2009.01592.x","type":"journal-article","created":{"date-parts":[[2009,9,28]],"date-time":"2009-09-28T13:50:26Z","timestamp":1254145826000},"page":"6-12","source":"Crossref","is-referenced-by-count":73,"title":["Reduced Fluoroscopy During Atrial Fibrillation Ablation: Benefits of Robotic Guided Navigation"],"prefix":"10.1111","volume":"21","author":[{"given":"DANIEL","family":"STEVEN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HELGE","family":"SERVATIUS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"THOMAS","family":"ROSTOCK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BORIS","family":"HOFFMANN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"IMKE","family":"DREWITZ","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KAI","family":"M\u00dcLLERLEILE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ARIAN","family":"SULTAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MUHAMMET ALI","family":"AYDIN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"THOMAS","family":"MEINERTZ","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"STEPHAN","family":"WILLEMS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,12,22]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eul097"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2004.03356.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eul079"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.108.818211"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.03.027"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2008.08.028"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.677369"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2006.00585.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eum120"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2008.02277.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.08.037"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1540-8167.2009.01592.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1540-8167.2009.01592.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T10:07:03Z","timestamp":1698919623000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1540-8167.2009.01592.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12,22]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,1]]}},"alternative-id":["10.1111\/j.1540-8167.2009.01592.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1540-8167.2009.01592.x","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12,22]]}}}