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Updated: Aug 17, 2026

Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures
Published on: April 21, 2013
Remote catheter ablation of parahisian accessory pathways using a novel magnetic navigation system--a report of two
Sabine Ernst1, Hitoshi Hachiya, Julian K R Chun
1Department of Cardiology, St. Georg General Hospital, Hamburg, Germany. sernst1718@aol.com
Introduction:
Ablation of anteroseptal (parahisian) pathways may be difficult using conventional catheters.
Methods And Results:
Two patients (51 and 20 years old) underwent ablation of a parahisian accessory pathway using the magnetic navigation system Niobe (Stereotaxis, Inc.), which consists of two external permanent magnets (0.08 Tesla) that steer a small magnet embedded in the tip of the ablation catheter. A motor drive allows the advancement or retraction of the catheter. From the control room, the ablation was performed using a single radiofrequency current application (fluoroscopy 3.2 and 6.0 minutes, respectively).
Conclusions:
The Niobe magnetic navigation system was successfully used to perform completely remote controlled mapping and ablation of parahisian accessory pathways.

