التنقل المغناطيسي الروبوتي

يستخدم التنقل المغناطيسي الروبوتي (وتسمى أيضًا عملية التنقلالمغناطيسية عن بُعد) تقنية روبوتية لتوجيه المجالات المغناطيسية التي تتحكم في حركة القسطرة داخل الأوعية الدموية ذات الرؤوس المغناطيسية داخل غرف القلب وعبرها أثناء إجراءات القسطرة القلبية.[1]

الأجهزة

نظرًا لأن قلب الإنسان يستمر في النبض أثناء إجراءات الاستئصال، يمكن أن يتأثر استقرار القسطرة بتقنية التنقل.  تعمل المجالات المغناطيسية التي تم إنشاؤها بواسطة تقنية RMN على توجيه طرف القسطرة باستخدام آلية عمل «السحب» (على عكس «الدفع» مع التنقل اليدوي بالقسطرة).  ارتبط آلية التنقل بالقسطرة المغناطيسية باستقرار أكبر للقسطرة.[2]

الاستخدام الطبي

الرجفان الأذيني

اعتبارًا من عام 2015، كان هناك نظامان آليان منتشرين للقسطرة بالنسبة للرجفان الأذيني؛ حيث استخدم أحدهم التوجيه المغناطيسي.[3]

بعد متابعة طويلة الأمد، ارتبطت آلية " التنقل باستخدام RMN بنتائج إجرائية وسريرية أفضل لاستئصال الرجفان الأذيني عند مقارنته بالتنقل اليدوي بالقسطرة لاستئصال القلب.[4]

تسرع القلب البطيني

لقد ثبت أن RMN آمنة وفعالة في استئصال القسطرة القلبية في مجموعات مختلفة من المرضى المصابين بتسرع القلب البطيني.[5][6]

انظر أيضًا

المراجع

  1. ^ Da Costa, A; Guichard, JB; Roméyer-Bouchard, C; Gerbay, A; Isaaz, K (2016). "Robotic magnetic navigation for ablation of human arrhythmias". Medical Devices: Evidence and Research. 9: 331–339. doi:10.2147/MDER.S96167. PMC 5034914. PMID 27698569.
  2. ^ Davis, DR; Tang, AS; Gollob, MH; Lemery, R; Green, MS; Birnie, DH (July 2008). "Remote magnetic navigation-assisted catheter ablation enhances catheter stability and ablation success with lower catheter temperatures". Pacing and Clinical Electrophysiology. 31 (7): 893–8. doi:10.1111/j.1540-8159.2008.01105.x. PMID 18684288.
  3. ^ Gerstenfeld, EP; Duggirala, S (2015). "Atrial fibrillation ablation: indications, emerging techniques, and follow-up". Progress in Cardiovascular Diseases. 58 (2): 202–12. doi:10.1016/j.pcad.2015.07.008. PMID 26241304.
  4. ^ Yuan, S; Holmqvist, F; Kongstad, O; Jensen, SM; Wang, L; Ljungström, E; Hertervig, E; Borgquist, R (December 2017). "Long-term outcomes of the current remote magnetic catheter navigation technique for ablation of atrial fibrillation". Scandinavian Cardiovascular Journal. 51 (6): 308–315. doi:10.1080/14017431.2017.1384566. PMID 28958165.
  5. ^ Akca, F; Önsesveren, I; Jordaens, L; Szili-Torok, T (June 2012). "Safety and efficacy of the remote magnetic navigation for ablation of ventricular tachycardias--a systematic review". Journal of Interventional Cardiac Electrophysiology. 34 (1): 65–71. doi:10.1007/s10840-011-9645-2. PMC 3342497. PMID 22180126.
  6. ^ Turagam, MK; Atkins, D; Tung, R; Mansour, M; Ruskin, J; Cheng, J; Di Biase, L; Natale, A; Lakkireddy, D (September 2017). "A meta-analysis of manual versus remote magnetic navigation for ventricular tachycardia ablation". Journal of Interventional Cardiac Electrophysiology. 49 (3): 227–235. doi:10.1007/s10840-017-0257-3. PMID 28624892.
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