Robotic‐assisted transradial diagnostic coronary angiography

Swaminathan, Rajesh V.; Rao, Sunil V.

doi:10.1002/ccd.27480

Cited by 27 publications

(12 citation statements)

References 8 publications

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“…Robot-assisted coronary interventions have recently been developed as an alternative to reduce the reliance on manual operation, [214][215][216][217][218][219][220][221][222][223][224] potentially reducing damage from radiation exposure. 225 Clinical studies have demonstrated the safety and efficacy of the robotic system, which has already been approved for routine application in the US and the European Union.…”

Section: Robotic Angioplastymentioning

confidence: 99%

Guidelines os the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019

Lopes¹,

Oliveira²,

Ribeiro³

et al. 2019

Arquivos Brasileiros De Cardiologia

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Section: Robotic Angioplastymentioning

confidence: 99%

Guidelines os the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019

Lopes¹,

Oliveira²,

Ribeiro³

et al. 2019

Arquivos Brasileiros De Cardiologia

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“…The Corpath robotic system (Corindus, Inc., Natick, MA, USA) allows the interventionist to perform percutaneous coronary intervention (PCI) procedures remotely from the console. The robot-assisted system can synchronously operate a catheter and a guidewire during intravascular surgery [8,9]. The Amigo TM (Catheter Robotics, Inc., Mount Olive, NJ, USA) remote catheter system (RCS) can safely and effectively insert a catheter into the right side of the heart [10].…”

Section: Related Workmentioning

confidence: 99%

A Magnetorheological Fluids-Based Robot-Assisted Catheter/Guidewire Surgery System for Endovascular Catheterization

Zhang

Guo

et al. 2021

Micromachines

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A teleoperated robotic catheter operating system is a solution to avoid occupational hazards caused by repeated exposure radiation of the surgeon to X-ray during the endovascular procedures. However, inadequate force feedback and collision detection while teleoperating surgical tools elevate the risk of endovascular procedures. Moreover, surgeons cannot control the force of the catheter/guidewire within a proper range, and thus the risk of blood vessel damage will increase. In this paper, a magnetorheological fluid (MR)-based robot-assisted catheter/guidewire surgery system has been developed, which uses the surgeon’s natural manipulation skills acquired through experience and uses haptic cues to generate collision detection to ensure surgical safety. We present tests for the performance evaluation regarding the teleoperation, the force measurement, and the collision detection with haptic cues. Results show that the system can track the desired position of the surgical tool and detect the relevant force event at the catheter. In addition, this method can more readily enable surgeons to distinguish whether the proximal force exceeds or meets the safety threshold of blood vessels.

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“…Corindus, A Siemens Healthineers Company, Waltham, MA, USA). The robotic platform is specifically developed for cardiovascular intervention and enables the manipulation of guidecatheters, 0.014" guidewires, and rapid-exchange interventional devices through a robotic arm (8)(9)(10)(11)(12)(13)(14)(15)(16).…”

Section: Case Presentationmentioning

confidence: 99%

Robotic-assisted intervention strategy to minimize air exposure during the procedure: a case report of myocardial infarction and COVID-19

Lemos¹,

Franken²,

Mariani³

et al. 2020

Cardiovasc Diagn Ther

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Percutaneous coronary interventions (PCI) is traditionally a manual procedure executed by one or more operators positioned at a close distance from the patient. The ongoing pandemic of coronavirus disease 2019 (COVID-19) has imposed severe restrictions to such an interventional environment. The novel SARS-CoV-2 virus that causes COVID-19 is transmitted mainly through expelled respiratory particles, which are known to travel approximately 3-6 feet away from infected persons. During PCI, that contamination range obligatorily poses the team and the patient to direct air exposure. We herein present a case report with the description of a minimum-contact strategy to reduce interpersonal air exposure during PCI. The approach designed to minimize proximity between the patient and the healthcare team included the performance of robotic-assisted PCI, operated by unscrubbed cardiac interventionalists from a control cockpit located outside the catheterization suite.Also included, was the delineation of the potential zone of respiratory particle spread; a circle measuring 4 meters (13.1 feet) in diameter was traced on the floor of the cath lab with red tape, centered on the patient's mouth and nose. The team was rigorously trained and advised to minimize time spent within the 4-meter perimeter as much as possible during the procedure. Following this strategy, a 60-year-old male with non-ST-elevation myocardial infarction and COVID-19 was treated with successful coronary implantation of two stents in the obtuse marginal branch and one stent in the circumflex artery. The total duration of the procedure was 103 minutes and 22 seconds. During most of the procedure, the 4-meter spread zone was not entered by any personnel. For each individual team member, the proposed strategy was effective in ensuring that they stayed outside of the 4-meter area for the majority of their work time, ranging from 96.9% to 59.7% of their respective participation. This case report illustrates the potential of robotic-assisted percutaneous coronary intervention in reducing physical proximity between the team and the patient during the procedure.

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Robotic‐assisted transradial diagnostic coronary angiography

Cited by 27 publications

References 8 publications

Guidelines os the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019

Guidelines os the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019

A Magnetorheological Fluids-Based Robot-Assisted Catheter/Guidewire Surgery System for Endovascular Catheterization

Robotic-assisted intervention strategy to minimize air exposure during the procedure: a case report of myocardial infarction and COVID-19

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