January 14, 2012Circulation Arrhythmia and Electrophysiology
Incidence and Long-Term Follow-Up of Silent Cerebral Lesions After Pulmonary Vein Isolation Using a Remote Robotic Navigation System as Compared With Manual Ablation
Why the study?
Does robotically assisted pulmonary vein isolation reduce the incidence of silent cerebral lesions compared to manual ablation in patients with atrial fibrillation?
Population
70 patients undergoing circumferential pulmonary vein isolation for atrial fibrillation (59% paroxysmal AF)
Comparison
Robotically assisted pulmonary vein isolation… vs Manual pulmonary vein isolation using irrigated…
Design
Cohort
Follow-up
median 21 months
Authors
Discussion
Loading...
Member takes
Implication
Comparable safety profiles should not yet alter ablation technique selection; extends observational data but leaves open randomized confirmation.
Structured PICO
Does robotically assisted pulmonary vein isolation reduce the incidence of silent cerebral lesions compared to manual ablation in patients with atrial fibrillation?
P
Population
70 patients undergoing circumferential pulmonary vein isolation for atrial fibrillation (59% paroxysmal AF)
I
Intervention
Robotically assisted pulmonary vein isolation (RA-PVI) using irrigated radiofrequency current
C
Comparator
Manual pulmonary vein isolation using irrigated radiofrequency current
O
Outcome
Incidence of silent cerebral lesions (SCL) detected by cerebral MRI the day after the ablation proceduresurrogate
Robotically assisted pulmonary vein isolation has a similar incidence of silent cerebral lesions compared to manual ablation, with no residual lesions detected at long-term follow-up.
Cite This Study
Rillig et al. (2012) studied this question.