Remote magnetic navigation vs. manual navigation for ablation of ventricular tachycardia: a meta-analysis

• Published in: Netherlands heart journal 2015-09, Vol.23 (10), p.485-490
• Main Authors: Wu, Y., Li, K.-L., Zheng, J., Zhang, C.-Y., Liu, X.-Y., Cui, Z.-M., Yu, Z.-M., Wang, R.-X., Wang, W.
• Format: Article
• Language: English
• Subjects: Ablation; Cardiac arrhythmia; Cardiology; Catheters; Confidence intervals; Medical Education; Medicine; Medicine & Public Health; Meta-analysis; Original - Design Study; Original Article - Design Study Article; Radiation; Success
• ISSN: 1568-5888; 1876-6250
• DOI: 10.1007/s12471-015-0734-1

Background The purpose of this study was to prospectively evaluate the efficacy and safety of remote magnetic navigation (RMN) in comparison with manual catheter navigation (MCN) in performing ventricular tachycardia ablation. Methods An electronic search was performed using PubMed (1948–2013) and EMBASE (1974–2013) studies comparing RMN with MCN which were published prior to 31 December 2013. Outcomes of interest were as follows: acute success, recurrence rate, complications, total procedure and fluoroscopic times. Standard mean difference (SMD) and its 95 % confidence interval (CI) were used for continuous outcomes; odds ratios (OR) were reported for dichotomous variables. Results Four non-randomised studies, including a total of 328 patients, were identified. RMN was deployed in 191 patients. Acute success and long-term freedom from arrhythmias were not significantly different between the RMN and control groups (OR 1.845, 95 % CI 0.731–4.659, p  = 0.195 and OR 0.676, 95 % CI 0.383–1.194, p  = 0.177, respectively). RMN was associated with less peri-procedural complications (OR 0.279, 95 % CI 0.092–0.843, p  = 0.024). Shorter procedural and fluoroscopy times were achieved (95 % CI -0.487 to -0.035, p  = 0.024 and 95 % CI -1.467 to -0.984, p