Arrhythmias refer to an abnormal heart rate or heart rhythm, the electrical impulses that may be too slow (bradycardia), too fast (tachycardia), or erratic. These are caused by problems with the heart’s electrical conductance system.
In a normal heartbeat, the electrical signal spreads from the sinoatrial (SA) node (the heart’s natural pacemaker) and spreads through the atria, passes to the atrioventricular (AV) node and finally makes its way to the lower chambers, the ventricles. These signals translate messages in order to orchestrate a highly coordinated sequence of contractions in each of the chambers to pump blood; glitches at any of these points can cause arrhythmias.

Catheter ablation is one way to treat specific arrhythmias or those arrhythmias that have not responded to medication, i.e. elimination of accessory pathways (APs), atrial flutter (AFL), or atrial-fibrillation (AF). Catheters (thin, flexible wires) are implanted into the blood vessel and guided into the heart to deliver radiofrequency (RF) energy to destroy the tissue responsible for these irregularities. According to the American Heart Association (AHA), this form of treatment is successful in over 90% of arrhythmias, eliminating the need for open-heart surgery or long-term drug therapy. However, while manual catheter ablation is quite successful, there are still many limitations including catheter manipulation in ‘hard-to-reach’ areas, less catheter stability, and efficiency/effectiveness of the ablation burn.
Enter the robotic remote-controlled catheter technology. Robotically-steerable catheters offer increased maneuverability, stability, as well as better suitability in unpredictable anatomy and possible reduction in vessel trauma. Using a computerized workstation, the physician is able to, via remote control, guide the steerable catheter into place. Two types of remote catheter navigation systems are being used currently, an electromechanical guidance and magnetic steering, making use of a permanent magnetic field to align the catheter.
Advances like robot technology in the field of interventional cardiology offer many exciting possibilities within the field of healthcare and robotics. The 2012 Heart Rhythm Society Meeting is highlighting these cutting edge robotics techniques in their upcoming scientific sessions at the annual meeting here in Boston May 9 – 12.