The Use of Remote Magnetic Navigation in Catheter Ablation of Atrial Arrhythmias

Jeffrey A. Tice, MD



In This Article

TA Criterion 5: The Improvement Must Be Attainable Outside of the Investigational Setting

Catheter ablation is a technically demanding procedure, whether performed with remote magnetic navigation or manually. There is also an important learning curve with magnetic navigation. Success rates appear to be relatively stable, but the total procedure time and fluoroscopy time decrease significantly with increased experience with magnetic navigation, even after the performance of 75 procedures. If inexperienced clinicians attempt to proceed too quickly, it is likely that the success rate suffers. If clear improvements are demonstrated, careful training and proctoring will be needed to ensure optimal results. However, to date, improvements have not been clearly demonstrated even in the investigational setting.

TA Criterion 5 is not met.


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