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Opinions on hi-tech 3-D EP cardiac catheter mapping systems (?)



I was wondering if any clinicians (or anyone with first-hand
experience) could offer any opinions or information as to the degree
of use some of the current high-tech catheter systems are getting.

Specifically:

1) Endocardial Solutions (EnSite 3000)

2) Biosense Webster / J&J (CARTO XP, NAVI-STAR catheter)

3) Medtronic (LocaLisa)

4) Boston Scientific (RPM Realtime Position Management System)

Generally, these hi-tech catheter systems can produce
electro-anatomical 3-D maps and images used to position the catheter
for diagnostic or theraputic action with reduced (or no?) reliance on
flouroscopy. They claim to be able to reduce procedure time and give
better outcomes for various conditions (atrial fibrillation and
flutter, etc).

I'm wondering if those systems are viewed by cardiologists as either
(a) still experimental, (b) yet to show clinical superiority or better
cost / benefit, or (c) well on their way to becoming standard hospital
equipment.

Basically, is the cardiology field adopting this technology or is it
as much of a curiosity as, say, robotic surgery?

???



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