title: Remote Magnetic Navigation for Catheter Ablation in Patients With Congenital Heart Disease: A Review.
abstract: In patients with congenital heart disease, challenges to catheter-based arrhythmia interventions are unique and numerous given the complexity of the underlying defects, anatomic and surgical intervention variants including baffles, conduits, patches, and/or shunts. Remote magnetic navigation offers significant advantages in these cases that may present with limited vascular access or difficult access to the target cardiac chambers implicated by the previous surgical interventions. We reviewed the data available on the safety, feasibility, and effectiveness of magnetic navigation for the treatment of arrhythmia in congenital heart disease and discussed the specific challenges related to various congenital defects and repair with the potential advantages offered by magnetic navigation in these circumstances.
authors.affiliation: Department of Cardiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
authors.forename: Karine
authors.initials: K
authors.lastname: Roy
authors.affiliation: Department of Cardiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
authors.forename: Federico
authors.initials: F
authors.lastname: Gomez-Pulido
authors.affiliation: Department of Cardiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK.|Biomedical Research Unit, National Heart and Lung Institute, Imperial College London, London, UK.
authors.forename: Sabine
authors.initials: S
authors.lastname: Ernst
mesh_terms: D017115:Catheter Ablation / Q000379:methods*; D002986:Clinical Trials as Topic / Q000379:methods; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D060328:Magnetic Phenomena; D065287:Robotic Surgical Procedures / Q000379:methods*
keywords: catheter ablation; congenital heart disease; magnetic navigation; supraventricular tachycardia; transbaffle puncture; ventricular arrhythmia