Radiation Exposure during Percutaneous Transluminal Angioplasty for Symptomatic Peripheral Arterial Disease

Preclinical study testing feasibility and technical requirements for successful telerobotic long distance peripheral vascular intervention

“…Fluoroscopy times for the conventional manual treatment of femoropopliteal lesions are reported to be between 7.4 and 16.4 min. [13][14][15] For the manual treatment of TASCII A superficial femoral lesions, Majewska et al 13 The limitations of this study are the low number of performed procedures per procedural blocks with noncomplex SFA pathologies, the single operator, and the use of the vascular simulator instead of an in vivo model. Recognition of any unexpected events both with the robotic system and the patient is important.…”

“…Similar fluoroscopy time (7.1 ± 3.2 min) and contrast dose (73.3 ± 9.2 ml) were shown in the RAPID trial, 4 where femoropopliteal lesions were treated with robotic assistance. Fluoroscopy times for the conventional manual treatment of femoropopliteal lesions are reported to be between 7.4 and 16.4 min 13–15 . For the manual treatment of TASCII A superficial femoral lesions, Majewska et al 13 .…”

Peripheral Interventions Radiation Exposure Reduction Using a Sensor-Based Navigation System: A Proof-of-Concept Study

“…Fluoroscopy-oriented procedures put interventional cardiologists among physicians with greatest exposure to ionizing radiation 1,3,7 . Results shown in this study, in combination with previous studies evaluating similar navigation technologies 5,6 , does support magnetic navigation as a reliable option to conventional fluoroscopy tools navigation.…”

“…In addition, minimizing the use of iodine-based contrast media, required for vessel visualization, has significant clinical benefit in many patients. Recent studies have demonstrated the direct and derived impacts of medical radiation exposure [1][2][3][4] . Higher risks of left-brain cancer and/or eye lens opacities are among the most serious direct impacts for interventional physicians whereas serious neck and back problems due to wearing lead aprons are some of the secondary problems.…”

“…Recent studies have demonstrated the direct and derived impacts of medical radiation exposure. 1 , 2 , 3 , 4 Higher risks of left-brain cancer and/or eye-lens opacities are among the most serious direct impacts for interventional physicians, and serious neck and back problems due to wearing lead aprons are among the secondary issues. Concomitantly, the safety and feasibility of using robotic systems to reduce medical radiation exposure have been reported.…”