PDF(Pubmed)
Abstract：
UNASSIGNED: Electroanatomical mapping (EAM) systems are essential for the treatment of cardiac arrhythmias. The EAM system is usually operated by qualified staff or field technical engineers from the control room. Novel remote support technology allows for remote access of EAM via online services. Remote access increases the flexibility of the electrophysiological lab, reduces travel time, and overcomes hospital access limitations especially during the COVID-19 pandemic. Here, we report on the feasibility and safety of EAM remote access for cardiac ablation procedures.
UNASSIGNED: Mapping and ablation were achieved by combining the EnsiteX™ EAM system and the integrated Ensite™ Connect Remote Support software, together with an integrated audiovisual solution system for remote support (Medinbox). Communication between the operator and the remote support was achieved using an incorporated internet-based common communication platform (Zoom™), headphones, and high-resolution cameras. We investigated 50 remote access-assisted consecutive electrophysiological procedures from September 2022 to February 2023 (remote group). The data were compared with matched patients (n = 50) with onsite support from the control room (control group). The median procedure time was 100 min (76, 120; remote) vs. 86 min (60, 110; control), P = 0.090. The procedural success (both groups 100%, P = 0.999) and complication rate (remote: 2%, control: 0%, P = 0.553) were comparable between the groups. Travel burden could be reduced by 11 280 km.
UNASSIGNED: Remote access for EAM was feasible and safe in this single-centre study. Procedural data were comparable to procedures with onsite support. In the future, this new solution might have a great impact on facilitating electrophysiological procedures.
UNASSIGNED: Mapping and ablation were achieved by combining the EnsiteX™ EAM system and the integrated Ensite™ Connect Remote Support software, together with an integrated audiovisual solution system for remote support (Medinbox). Communication between the operator and the remote support was achieved using an incorporated internet-based common communication platform (Zoom™), headphones, and high-resolution cameras. We investigated 50 remote access-assisted consecutive electrophysiological procedures from September 2022 to February 2023 (remote group). The data were compared with matched patients (n = 50) with onsite support from the control room (control group). The median procedure time was 100 min (76, 120; remote) vs. 86 min (60, 110; control), P = 0.090. The procedural success (both groups 100%, P = 0.999) and complication rate (remote: 2%, control: 0%, P = 0.553) were comparable between the groups. Travel burden could be reduced by 11 280 km.
UNASSIGNED: Remote access for EAM was feasible and safe in this single-centre study. Procedural data were comparable to procedures with onsite support. In the future, this new solution might have a great impact on facilitating electrophysiological procedures.
摘要：
■电解剖标测（EAM）系统对于心律失常的治疗至关重要。EAM系统通常由控制室的合格人员或现场技术工程师操作。新型远程支持技术允许通过在线服务远程访问EAM。远程访问增加了电生理实验室的灵活性，减少旅行时间，并克服了医院准入限制，特别是在COVID-19大流行期间。这里,我们报告了EAM远程进入心脏消融手术的可行性和安全性.
■通过结合EnsiteX™EAM系统和集成的Ensite™Connect远程支持软件实现标测和消融。以及用于远程支持的集成视听解决方案系统（Medinbox）。运营商和远程支持之间的通信是使用基于互联网的通用通信平台(Zoom™)实现的。耳机,和高分辨率相机。我们调查了2022年9月至2023年2月的50个远程访问辅助连续电生理程序（远程组）。将数据与对照组（对照组）现场支持的匹配患者（n=50）进行比较。中位手术时间为100分钟(76,120;远程)与86分钟（60，110；对照），P=0.090。程序成功(两组都100%，P=0.999）和并发症发生率（远程：2%，控制:0%,P=0.553）组间具有可比性。旅行负担可减少11280公里。
■在这项单中心研究中，EAM的远程访问是可行且安全的。程序数据与有现场支持的程序相当。在未来,这种新的解决方案可能对促进电生理程序有很大的影响。
■通过结合EnsiteX™EAM系统和集成的Ensite™Connect远程支持软件实现标测和消融。以及用于远程支持的集成视听解决方案系统（Medinbox）。运营商和远程支持之间的通信是使用基于互联网的通用通信平台(Zoom™)实现的。耳机,和高分辨率相机。我们调查了2022年9月至2023年2月的50个远程访问辅助连续电生理程序（远程组）。将数据与对照组（对照组）现场支持的匹配患者（n=50）进行比较。中位手术时间为100分钟(76,120;远程)与86分钟（60，110；对照），P=0.090。程序成功(两组都100%，P=0.999）和并发症发生率（远程：2%，控制:0%,P=0.553）组间具有可比性。旅行负担可减少11280公里。
■在这项单中心研究中，EAM的远程访问是可行且安全的。程序数据与有现场支持的程序相当。在未来,这种新的解决方案可能对促进电生理程序有很大的影响。
