Advancements in robotic PCI technology: time to tackle the complex lesions!

Robotic percutaneous coronary intervention (R-PCI): Time to focus on the pros and cons

“… 18 More recently, Arif A. Khokhar and colleagues evaluated the key technological advancements in the most recent robotic CorPath GRX system and reported that IVUS was carried out robotically using the Eagle Eye Platinum catheter (Philips) in a complex left main to the left anterior descending (LAD) artery lesion. 19 The robotic system is not capable of manipulating rotational IVUS systems but can do phased array IVUS; however, phased array generally operates at a lower frequency and therefore has lower resolution.…”

Latest Developments in Robotic Percutaneous Coronary Interventions

“…The newer-generation CorPath GRX R-PCI platform, which received FDA approval in 2016, integrated guiding catheter control, giving operators axial and rotational control of guiding catheters for the first time. [ 12 ] Further upgrades have also been made to robotic wiring control, with the addition of new automated wiring techniques, which replicate common manoeuvres performed by operators during manual PCI (M-PCI). [ 12 ] Finally, additional modifications include active device fixation of a wire and the ability to use and control microcatheter systems.…”

“…[ 12 ] Further upgrades have also been made to robotic wiring control, with the addition of new automated wiring techniques, which replicate common manoeuvres performed by operators during manual PCI (M-PCI). [ 12 ] Finally, additional modifications include active device fixation of a wire and the ability to use and control microcatheter systems. To date, these modifications have only been used for percutaneous robotic neurointerventional procedures, but their use in R-PCI is shortly expected.…”

“…The different wiring and device TechnIQ movements can be simultaneously combined with the joystick and touchscreen controls; in addition, the operator can easily and instantly switch between different TechnIQ manipulations in order to select the most appropriate wiring and device strategy to tackle the intracoronary challenge ( Figure 2 ). [ 12 ]…”

“…[ 7 – 10 ] As the number of robotic installations increases worldwide, combined with growing operator experience and technological developments, the range and complexity of lesions and procedures that can be treated robotically is rapidly expanding. [ 9 , 11 – 13 ]…”