Robotic endovascular surgery: current and future practice

Cruddas, Lucinda; Martin, Guy; Riga, Celia

doi:10.1053/j.semvascsurg.2021.10.002

Cited by 24 publications

(18 citation statements)

References 38 publications

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“…guidewire, catheter and balloon/stent catheters. As reported by Cruddas et al, the use of this robotic platform for the treatment of symptomatic peripheral arterial disease has been associated with improved technical success, shorter procedural times, and reduced use of fluoroscopy and contrast (9). According to (10), use cases reported in the literature also include percutaneous angioplasty of the superficial femoral artery and carotid angioplasty.…”

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 95%

“…The Sensei robotic catheter was approved in 2007 by the FDA for use in cardiac mapping and ablative procedures (9), followed by the Magellan system, the first purely vascular robot that received FDA approval in 2012 (10). The Sensei system is equipped with pull-wire steerable sheaths, allowing remote manipulation of catheters via a three-degree-offreedom (3-DOF) joystick, and has been employed successfully in a range of interventions, including cardiac ablation and standard and complex endovascular aneurysm repairs (9). Furthermore, the literature reports a clinical study on the use of this technology for iliac artery and superficial femoral artery cannulation (10).…”

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 99%

“…The workstation includes a controller, a 7-DOF joystick, and a control screen. The system allows the operator to remotely control the catheter insertion/withdrawal, multidirectional movement, angulation, rotation, and torque position (9). According to (10) use-cases reported in the literature include: visceral and renal vessel cannulation during FEVAR/BEVAR, catheter placement in aortic arch during TEVAR, EVAR gate cannulation, and carotid artery angioplasty.…”

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 99%

“…According to (10), use cases reported in the literature also include percutaneous angioplasty of the superficial femoral artery and carotid angioplasty. However, large studies and costbenefit analyses on its use in daily practice are lacking in the literature (9).…”

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 99%

“…As concluded in (9), none of the robotic systems mentioned have been used on a large scale, nor are they employed in clinical routine, so there is limited data available about their safety, effectiveness and efficiency. The main limitations of current systems include technical complexity, high cost, and, in most cases, difficulty of use with existing endovascular devices.…”

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 99%

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Bioengineering, augmented reality, and robotic surgery in vascular surgery: A literature review

Condino

Piazza²,

Carbone³

et al. 2022

Front. Surg.

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Biomedical engineering integrates a variety of applied sciences with life sciences to improve human health and reduce the invasiveness of surgical procedures. Technological advances, achieved through biomedical engineering, have contributed to significant improvements in the field of vascular and endovascular surgery. This paper aims to review the most cutting-edge technologies of the last decade involving the use of augmented reality devices and robotic systems in vascular surgery, highlighting benefits and limitations. Accordingly, two distinct literature surveys were conducted through the PubMed database: the first review provides a comprehensive assessment of augmented reality technologies, including the different techniques available for the visualization of virtual content (11 papers revised); the second review collects studies with bioengineering content that highlight the research trend in robotic vascular surgery, excluding works focused only on the clinical use of commercially available robotic systems (15 papers revised). Technological flow is constant and further advances in imaging techniques and hardware components will inevitably bring new tools for a clinical translation of innovative therapeutic strategies in vascular surgery.

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Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 95%

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 99%

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 99%

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 99%

Section: Robot-assisted Laparoscopic Vascular Surgerymentioning

confidence: 99%

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Bioengineering, augmented reality, and robotic surgery in vascular surgery: A literature review

Condino

Piazza²,

Carbone³

et al. 2022

Front. Surg.

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Advanced User Interfaces for Teleoperated Surgical Robotic Systems

Nguyễn

Wong

Thai

et al. 2023

Advanced Sensor Research

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In recent years, advances in modern technology have altered the practice of surgery from open to minimally invasive surgery (MIS) aided by robots. Teleoperated surgical robotic systems (TSRSs) provide numerous significant benefits for MIS over traditional approaches, including improved safety, more efficient and precise surgery, better cosmesis, shorter recovery time, and reduced postoperative pain. Existing TSRSs' master consoles, with improvements in vision systems, designs, and control methods, have significantly enhanced human-robot interactions, resulting in safer and more accurate medical intervention operations. Despite advances, haptic technologies, including sensors, machine assistance, and intuitive devices for user interfaces, are still limited, resulting in less effective usage of TSRSs for surgical operations. This review presents a summary of the emerging TSRSs with a focus on their user interfaces. In addition, advanced sensing, haptic, smart garments, and medical image artificial intelligence (AI) assistance technologies are shown with their potential for use in master consoles of the TSRSs are shown. Finally, a discussion on the need for a smart human-robot interface for TSRSs is given.

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Robotic Assisted Ultrasound‐Guided Endovascular Stent Implantation in a Vascular Model

Scheibert,

Preuss,

Osburg

et al. 2024

Robotics Computer Surgery

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BackgroundEndovascular procedures are the preferred method for treating peripheral arterial disease. However, limited imaging options during these procedures, such as X‐rays and contrast media, expose patients and healthcare professionals to potentially harmful radiation. This study introduces a robotic ultrasound system (RUSS) for navigating endovascular procedures in order to reduce radiation and provide additional information.MethodsThe RUSS comprises a seven‐degree‐of‐freedom robotic arm that navigates an ultrasound transducer across a specific region of interest. The system is controlled by a self‐programed software designed to navigate the robotic arm in a methodical and reproducible manner using a foot switch.ResultsAn endovascular surgeon investigated the guidance and visibility of various guidewires and successfully implanted three stents in a vascular leg phantom using the RUSS without further radiation exposure.ConclusionsThe innovative set‐up has several potential applications, including radiation‐free endovascular procedures as well as health screening and diagnostic support in vascular medicine.

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Robotic endovascular surgery: current and future practice

Cited by 24 publications

References 38 publications

Bioengineering, augmented reality, and robotic surgery in vascular surgery: A literature review

Bioengineering, augmented reality, and robotic surgery in vascular surgery: A literature review

Advanced User Interfaces for Teleoperated Surgical Robotic Systems

Robotic Assisted Ultrasound‐Guided Endovascular Stent Implantation in a Vascular Model

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