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November 5, 2009Pacing and Clinical Electrophysiology

The mean number of junctional beats was significantly lower in the magnetic navigation group (66 ± 94.9) compared to the conventional control group (200 ± 243.1) (P = 0.019).

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Why the study?

Does magnetic remote catheter ablation reduce the occurrence of junctional rhythm compared to conventional manual ablation in patients with AVNRT?

Population

37 patients with atrioventricular nodal reentrant tachycardia (AVNRT) undergoing slow pathway ablation.

Comparison

Slow pathway radiofrequency ablation using a… vs Conventional manual slow pathway radiofrequency…

Design

Cohort

Authors

PRPhilippe RicardDLDecebal Gabriel LațcuKYKHELIL YAÏCI

Discussion

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Overview

Fewer junctional beats with magnetic navigation in AVNRT ablation; hypothesis-generating for junctional rhythm as non-mandatory success marker, needing randomized confirmation.

Structured PICO

Does magnetic remote catheter ablation reduce the occurrence of junctional rhythm compared to conventional manual ablation in patients with AVNRT?

P
Population
37 patients with atrioventricular nodal reentrant tachycardia (AVNRT) undergoing slow pathway ablation.
I
Intervention
Slow pathway radiofrequency ablation using a magnetic navigation (MN) system (Niobe, Stereotaxis Inc.) with a 4-mm nonirrigated tip catheter (maximum 30 W and 60 degrees C).
C
Comparator
Conventional manual slow pathway radiofrequency ablation with a 4-mm nonirrigated tip catheter (maximum 30 W and 60 degrees C).
O
Outcome
Occurrence and number of junctional beats (JB) during ablation.surrogate

Magnetic remote catheter ablation for AVNRT is effective and produces significantly fewer junctional beats than conventional manual ablation, suggesting junctional rhythm is not a mandatory indicator of success with this system.

Cite This Study

Ricard et al. (2009) studied this question.

synapsesocial.com/papers/6a712f6c26a7f98052dd965ahttps://doi.org/10.1111/j.1540-8159.2009.02592.x
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