title: [Three-dimensional reconstruction and remote navigation for catheter-guided atrial fibrillation ablation. Does it influence procedural outcomes?].
abstract: Catheter ablation of atrial fibrillation has evolved as a widely accepted therapy approach and is now also incorporated in the current guidelines.A major limitation consists of the limited three-dimensional visualization of the complex three-dimensional structures in the left atrium since most procedures have routinely been performed using fluoroscopy alone. Another unsolved problem is the limited durability of lesions sets performed with radiofrequency ablation and therefore somewhat disappointing long-term ablation results besides fluoroscopy exposition for patient and operator as required for safe catheter manipulation.In the recent years we have gained substantial insight with respect to arrhythmia mechanism. At the same time new techniques and developments have become available to improve catheter ablation results.The present article summarizes the available opportunities with respect to three-dimensional mapping including CT/MRI image integration and gives an overview of the robotic and magnetic systems available for catheter ablation.
authors.affiliation: Klink für Kardiologie mit Schwerpunkt Elektrophysiologie, Universitäres Herzzentrum Hamburg, Martinistrasse 52, Hamburg, Germany. d.steven@uke.uni-hamburg.de
authors.forename: Daniel
authors.initials: D
authors.lastname: Steven
authors.forename: Boris
authors.initials: B
authors.lastname: Hoffmann
authors.forename: Thomas
authors.initials: T
authors.lastname: Rostock
authors.forename: Imke
authors.initials: I
authors.lastname: Drewitz
authors.forename: Arian
authors.initials: A
authors.lastname: Sultan
authors.forename: Helge
authors.initials: H
authors.lastname: Servatius
authors.forename: Jakob
authors.initials: J
authors.lastname: Lüker
authors.forename: Kai
authors.initials: K
authors.lastname: Müllerleile
authors.forename: Stephan
authors.initials: S
authors.lastname: Willems
mesh_terms: D001281:Atrial Fibrillation / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000295:instrumentation; D053783:Magnetic Resonance Imaging, Interventional / Q000295:instrumentation; D008280:Magnetics; D011857:Radiographic Image Interpretation, Computer-Assisted; D015641:Radiography, Interventional / Q000295:instrumentation / Q000379:methods*; D012371:Robotics / Q000295:instrumentation; D025321:Surgery, Computer-Assisted / Q000009:adverse effects / Q000295:instrumentation; D014057:Tomography, X-Ray Computed / Q000295:instrumentation; D016896:Treatment Outcome