Abstract
Catheter ablation is nowadays an established treatment modality for both atrial and ventricular tachyarrhythmias. Manual navigation of the ablation catheter can be challenging in patients with a complex cardiac anatomy due to, for example, (surgically corrected or palliated) congenital heart defects, resulting in a long procedure time and excessive X-ray exposure. In the past decades, sophisticated mapping and ablation techniques have been developed in order to improve the outcome of ablative therapy. These technologies include remote navigation systems such as the magnetic navigation system (Stereotaxis Inc.) and the non-magnetic robotic navigation system (Sensei Hansen Medical). In this issue, Roudijk et al. report on the value of remote magnetic catheter navigation and ablation in children and young adult patients with and without congenital heart disease in their paper entitled: ‘Catheter ablation in children and young adults: is there an additional benefit from remote magnetic navigation [1]? In this elegant paper, the outcome of ablative therapy of a variety of tachyarrhythmias was examined.
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