Non-fluoroscopic transseptal catheterization during electrophysiology procedures using a remote magnetic navigation system

Bich Lien Nguyen, Jose L. Merino, Yehoshua Shachar, Alejandro Estrada, David Doiny, Sergio Castrejon, Bruce Marx, David Johnson, Wanda Marfori, Eli S. Gang

Research output: Contribution to journalArticlepeer-review

Abstract

Transseptal punctures are commonly performed, and left atrial (LA) access is frequently lost during lengthy, complex electrophysiology (EP) procedures. We describe a new technique for non-fluoroscopic re-crossing the fossa ovalis using a new multielectrode transseptal sheath (TS) and a new remote magnetic catheter navigation system (RMNS) (CGCI System, Magnetecs) that uses 8 rapid external electromagnets for real-time navigation of a magnet-tipped electrode catheter across the initial transseptal puncture site in 5 patients undergoing left-sided ablation procedures. The three-dimensional (3D) position of a 8.5 Fr steerable TS with 5-ring 5-15-15-5-mm spaced distal electrodes (Agilis ES

Original languageEnglish
Pages (from-to)6-9
Number of pages4
JournalJournal of Atrial Fibrillation
Volume6
Issue number4
StatePublished - Dec 2013
Externally publishedYes

Keywords

  • Catheter ablation
  • Fluoroscopy
  • Left atrium access
  • Remote navigation
  • Transseptal catheterization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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