Chapter 15: Robotic Devices in the Electrophysiology Laboratory

(Guest Authored by Daniel Kersten)

Since the release of the previous edition of this book, the application of robotics in electrophysiology has grown in popularity. Robotics, as compared to traditional manual catheter manipulation, offers many advantages to EP practitioners and staff. These systems have been shown to significantly reduce radiation exposure from fluoroscopy to the operator. In addition, the use of mechanical robotic systems, together with contact force sensing, might provide a greater degree of feedback to the operator (and potentially be safer) as compared to traditional mechanical robotics without contact force sensing.

There are two types of robotic catheter systems that are available in the United States. The first type of system uses magnetics to pull the catheter against the myocardial wall. The second type of system is mechanically driven, in which an ablation catheter and/or sheath is driven against the myocardial wall.

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