Anna Noten ^1* Tamas Szili-Torok ² Sabine Ernst ³ David Burkhardt ⁴ Diogo Cavaco ⁵ Xu Chen ⁶ Jim Cheung ⁷ Christian De CHILLOU ⁸ Eugene Crystal ⁹ Daniel Cooper ¹⁰ Maurizio Gasparini ¹¹ Tamás Géczy ¹² Konrad Goehl ¹³ Burkhard Huegl ¹⁴ Qi Jin ¹⁵ Priit Kampus ¹⁶ Pedram Kazemian ¹⁷ Muchtiar Khan ¹ Ole Kongstad ¹⁸ Jarkko Magga ¹⁹ Darren Peress ²⁰ Pekka Raatikainen ²¹ Alexander Romanov ²² Ole Rossvoll ²³ Gurjit Singh ²⁴ Radu Vatasescu ²⁵ Sip Wijchers ²⁶ Kohei Yamashiro ²⁷ Sing-Chien Yap ²⁶ Peter Weiss ²⁸

• ¹ Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, Netherlands
• ² University of Szeged, Szeged, Hungary
• ³ Royal Brompton Hospital, London, United Kingdom
• ⁴ Texas Cardiac Arrhythmia Institute, Austin, Minnesota, United States
• ⁵ Hospital da Luz Lisboa, Lisbon, Lisboa, Portugal
• ⁶ Rigshospitalet, University of Copenhagen, Copenhagen, Capital Region of Denmark, Denmark
• ⁷ Weill Cornell Medicine, Cornell University, New York, New York, United States
• ⁸ Centre Hospitalier Universitaire de Nancy, Nancy, Lorraine, France
• ⁹ Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, Canada
• ¹⁰ School of Medicine, Washington University in St. Louis, St. Louis, Missouri, United States
• ¹¹ Humanitas Research Hospital, Rozzano, Lombardy, Italy
• ¹² Medical University of Graz, Graz, Styria, Austria
• ¹³ Department of Electrophysiology, Klinikum Nürnberg Süd, Nuremberg, Germany, Nuremberg, Germany
• ¹⁴ Marienhaus Klinikum St. Elisabeth, Neuwied, Germany
• ¹⁵ Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, Beijing, China
• ¹⁶ North Estonia Medical Centre, Tallinn, Harju County, Estonia
• ¹⁷ Deborah Heart and Lung Center, Browns Mills, New Jersey, United States
• ¹⁸ Lund University, Lund, Skane County, Sweden
• ¹⁹ Oulu University Hospital, Oulu, Northern Ostrobothnia, Finland
• ²⁰ pima heart physicians, Tucson, United States
• ²¹ Helsinki University Central Hospital, Helsinki, Uusimaa, Finland
• ²² E. Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russia
• ²³ Department of Cardiology, St. Olavs Hospital, Trondheim University Hostpital, Trondheim, Sør-Trøndelag, Norway
• ²⁴ Henry Ford Health System, Detroit, Michigan, United States
• ²⁵ Clinical Emergency Hospital Bucharest, Bucharest, Romania
• ²⁶ Erasmus Medical Center, Rotterdam, Netherlands
• ²⁷ Takatsuki General Hospital, Takatsuki, Ōsaka, Japan
• ²⁸ University of Arizona Medical Center, Tucson, Arizona, United States

Preamble -Robotic magnetic navigation (RMN)-guided catheter ablation (CA) technology has been used for the treatment of cardiac arrhythmias for almost 20 years. Various studies reported that RMN allows for high catheter stability, improved lesion formation and a superior safety profile. So far, no guidelines or recommendations on RMN-guided CA have been published.Purpose -The aim of this consensus paper was to summarize knowledge and provide recommendations on management of arrhythmias using RMN-guided CA as treatment of atrial fibrillation (AF) and ventricular arrhythmias (VA).Methodology -An expert writing group, performed a detailed review of available literature, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Recommendations on RMN-guided CA are presented in a guideline format with three levels of recommendations to serve as a reference for best practices in RMN procedures. Each recommendation is accompanied by supportive text and references. The various sections cover the practical spectrum from system and patient set-up, EP laboratory staffing, combination of RMN with fluoroscopy and mapping systems, use of automation features and ablation settings and targets, for different cardiac arrhythmias.Conclusion -This manuscript, presenting the combined experience of expert robotic users and knowledge from the available literature, offers a unique resource for providers interested in the use of RMN in the treatment of cardiac arrhythmias.