transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2016-3-3-79-84transmed-193Research ArticleПРОТОКОЛЫ КЛИНИЧЕСКИХ ИССЛЕДОВАНИЙРобот против рук. Дизайн рандомизированного клинического исследования роботизированной катетерной аблации персистирующей фибрилляции предсердийRobot versus manual ablation persistent atrial fibrillation (ru_spb)НаймушинМихаил АлександровичNaymushinMikhail A.m.naymushin@yandex.ruМихайловЕвгений НиколаевичMikhailovEvgeny N.noemail@neicon.ruЛебедевДмитрий СергеевичLebedevDmitry S.noemail@neicon.ruФГБУ «СЗФМИЦ им. В.А. Алмазова»РоссияFederal Almazov North-West Medical Research CentreRussian FederationФГБУ «СЗФМИЦ им. В.А. Алмазова» Минздрава РоссииРоссияFederal Almazov North-West Medical Research CentreRussian Federation201623122016337984Copyright © Наймушин М.А., Михайлов Е.Н., Лебедев Д.С., 20162016Наймушин М.А., Михайлов Е.Н., Лебедев Д.С.Naymushin M.A., Mikhailov E.N., Lebedev D.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/193

Катетерная аблация фибрилляции предсердий (ФП) является физически сложной процедурой для оператора, связана с радиоактивным излучением и имеет ограниченный процент эффективности. Применение удаленных роботизированных систем могут улучшить результаты лечения и облегчить процесс операции для хирургов. Целью данного исследования является оценка эффективности и безопасности применения роботизированных катетерных систем по сравнению с мануальной методикой аблации при лечении персистирующей фибрилляции предсердий.

Catheter ablation of atrial fibrillation (AF) is a physically demanding procedure for the operator, involving radiation exposure, and has limited success rates. Remote robotic navigation (RRN) may offer benefit to the procedure. This prospective randomized study evaluated the hypothesis that the single-procedure persistent AF ablation success rate is greater with RRN than with manual navigation.

персистирующая фибрилляция предсердийрадиочастотная аблацияHansenArtisanpersistent atrial fibrillationradiofrequency ablationHansenArtisanReferencesMikhaylov E.N., Lebedev D.S., Pokushalov E.A., et al. Outcomes of cryoballoon ablation in high- and low-volume atrial fibrillation ablation centres: a Russian pilot survey. Biomed Res Int. 2015; vol. 2015: Article ID 591603.Mikhaylov E.N., Lebedev D.S., Pokushalov E.A., et al. Outcomes of cryoballoon ablation in high- and low-volume atrial fibrillation ablation centres: a Russian pilot survey. Biomed Res Int. 2015; vol. 2015: Article ID 591603.Rillig A., Meyerfeldt U., Birkemeyer R., et al. Remote robotic catheter ablation for atrial fibrillation: How fast is it learned and what benefits can be earned? J Interv Card Electrophysiol. 2010; 29: 109-117.Rillig A., Meyerfeldt U., Birkemeyer R., et al. Remote robotic catheter ablation for atrial fibrillation: How fast is it learned and what benefits can be earned? J Interv Card Electrophysiol. 2010; 29: 109-117.Tilz R.R., Chun K.R., Schmidt B, et al. Catheter ablation of long-standing persistent atrial fibrillation: A lesson from circumferential pulmonary vein isolation. J CardiovascElectrophysiol. 2010; 21: 1085-1093.Tilz R.R., Chun K.R., Schmidt B, et al. Catheter ablation of long-standing persistent atrial fibrillation: A lesson from circumferential pulmonary vein isolation. J CardiovascElectrophysiol. 2010; 21: 1085-1093.Saliba W., Reddy V.Y., Wazni O., et al. Atrial fibrillation ablation using a robotic catheter remote control system: Initial human experience and long-term follow-up results. J Am CollCardiol. 2008; 51: 2407-2411.Saliba W., Reddy V.Y., Wazni O., et al. Atrial fibrillation ablation using a robotic catheter remote control system: Initial human experience and long-term follow-up results. J Am CollCardiol. 2008; 51: 2407-2411.Michowitz Y., Rahkovich M., Oral H. et al. Effects of sex on the incidence of cardiac tamponade following catheter ablation of atrial fibrillation: results from a worldwide survey in 34,943 AF ablation procedures. Circ Arrhythm Electrophysiol. 2014; 7(2): 274-80.Michowitz Y., Rahkovich M., Oral H. et al. Effects of sex on the incidence of cardiac tamponade following catheter ablation of atrial fibrillation: results from a worldwide survey in 34,943 AF ablation procedures. Circ Arrhythm Electrophysiol. 2014; 7(2): 274-80.Di Biase L., Natale A., Barrett C., et al. Relationship between catheter forces, lesion characteristics, “popping,” and char formation: Experience with robotic navigation system. J CardiovascElectrophysiol. 2009; 20: 436-440.Di Biase L., Natale A., Barrett C., et al. Relationship between catheter forces, lesion characteristics, “popping,” and char formation: Experience with robotic navigation system. J CardiovascElectrophysiol. 2009; 20: 436-440.European Heart Rhythm Association (EHRA); European Cardiac Arrhythmia Society (ECAS); American College of Cardiology (ACC); American Heart Association (AHA); Society of Thoracic Surgeons (STS), Calkins H., Brugada J., Packer D.L., et al. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: Recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Heart Rhythm. 2007; 4: 816-861.European Heart Rhythm Association (EHRA); European Cardiac Arrhythmia Society (ECAS); American College of Cardiology (ACC); American Heart Association (AHA); Society of Thoracic Surgeons (STS), Calkins H., Brugada J., Packer D.L., et al. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: Recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Heart Rhythm. 2007; 4: 816-861.Tilz R.R., Chun K.R., Metzner A., et al. Unexpected high incidence of esophageal injury following pulmonary vein isolation using robotic navigation. J CardiovascElectrophysiol. 2010; 21: 853-858.Tilz R.R., Chun K.R., Metzner A., et al. Unexpected high incidence of esophageal injury following pulmonary vein isolation using robotic navigation. J CardiovascElectrophysiol. 2010; 21: 853-858.

The authors declare that there are no conflicts of interest present.