I’m sure this is the wave of the future:
A senior clinician and staff, present in the Milan lab and ready to intervene should complications arise, inserted the catheter into the groin. From there, Pappone took over the controls in Boston and via a secure satellite link was able to manipulate the catheter with the magnetic navigation system (Stereotaxis, St Louis, MO) to perform the ablation. Pappone completed the ablation in 50 minutes, and the whole procedure was performed without complications.
There was a slight lag””the time between moving the controls in Boston and the eventual movement of the catheter in Milan””of approximately 1/10 of a second, but this did not interfere with the ability to perform the procedure.