Successful introduction of robotic-assisted percutaneous coronary intervention system into Japanese clinical practice: a first-year survey at single center

Kagiyama, Kotaro; Mitsutake, Yoshiaki; Ueno, Takayoshi; Sakai, Shinji; Nakamura, Takuya; Yamaji, Kazunori; Ishimatsu, Takashi; Sasaki, Masahiro; Chibana, Hidetoshi; Isobe, Naoki; Sasaki, Ken-ichiro

doi:10.1007/s00380-021-01782-6

Cited by 17 publications

(21 citation statements)

References 13 publications

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“…On the other hand, rPCI has shown to reduce occupational hazards and minimize radiation exposure for the interventionalists [ 9 ], while these results were conflicting regarding patients’ exposure [ 17 , 18 ]. In the current study, the dose area product was lower compared to other rPCI cohorts [ 11 , 19 , 20 ], although procedural and fluoroscopy times were in a similar range in the majority of cases [ 11 , 19 ]. In our opinion, these findings cannot be explained by the use of the robotic platform itself rather than a strong focus on radiation protection at our institution as published before [ 2 ].…”

Section: Discussionmentioning

confidence: 58%

Establishing a robotic-assisted PCI program: experiences at a large tertiary referral center

et al. 2022

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Robotic-assisted percutaneous coronary interventions (rPCI) have proven feasible and safe while reducing radiation exposure for the operator. Recently, rPCI systems have been refined to facilitate the treatment of complex lesions. The aim of the current study was to evaluate challenges and opportunities of establishing an rPCI program at a tertiary referral center. rPCI was performed using the CorPath GRX Vascular Robotic System (Corindus Inc., a Siemens Healthineers Company, Waltham, USA). Baseline, procedural, and in-hospital follow-up data were prospectively assessed. rPCI success was defined as completion of the PCI without or with partial manual assistance. The safety endpoint was the composite of missing angiographic success or procedure-related adverse events during hospital stay. Overall, 86 coronary lesions were treated in 71 patients (28.2% female) from January to April 2021. Median age was 71.0 years (IQR 60.3; 79.8). Indications for rPCI were stable angina pectoris (71.8%), unstable angina (12.7%) and non-ST elevation myocardial infarction (15.5%). Most lesions were complex (type B2/C: 88.4%) and included 7 cases of rPCI for chronic total occlusions. Angiographic and rPCI success were achieved in 100.0% and 94.2%, respectively. Partial manual assistance was used in 25.6%. Conversion to manual PCI was required in 5.8%. The safety endpoint occurred in 7.0% of patients. rPCI when applied as clinical routine for complex coronary lesions is effective with good immediate angiographic and clinical results. Future investigations should focus on the identification of patients that particularly benefit from robotic-assisted vs. manual PCI despite higher resource utilization.

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Section: Discussionmentioning

confidence: 58%

Establishing a robotic-assisted PCI program: experiences at a large tertiary referral center

et al. 2022

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“…At present, the second generation of CorPath is available. The CorPath GRX system (Figure 6 ) has new features that further facilitate R-PCI in complex anatomies, including remote manipulation of the guide catheter to help augment support after engagement or incorporation of wiring algorithms such as “rotate on retract and simplified device exchanges.” The new system achieves tremendous reduction in radiation exposure to operators with high rates of clinical and technical success even in complex PCI scenarios such as laser atherectomy or left main stem disease[ 31 , 34 , 35 ]. The R-One (Robocath) is a new R-PCI platform that recently received regulatory approval for use in Europe.…”

Section: Innovationsmentioning

confidence: 99%

“…The absence of tactile feedback is another important issue in complex PCIs, where the interaction among the wire, lesion, and operator is key to subsequent technical success[ 40 ]. Finally, at least one team member needs to remain at the bedside for equipment exchanges and the procedure duration is significantly increased compared to traditional interventions[ 32 , 35 , 42 ].…”

Section: Innovationsmentioning

confidence: 99%

Radiation protection for the interventional cardiologist: Practical approach and innovations

Gutierrez-Barrios¹,

Cañadas²,

Noval-Morillas³

et al. 2022

WJC

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Use of ionizing radiation during cardiac catheterization interventions adversely impacts both the patients and medical staff. In recent years, radiation dose in cardiac catheterization interventions has become a topic of increasing interest in interventional cardiology and there is a strong interest in reducing radiation exposure during the procedures. This review presents the current status of radiation protection in the cardiac catheterization laboratory and summarizes a practical approach for radiation dose management for minimizing radiation exposure. This review also presents recent innovations that have clinical potential for reducing radiation during cardiac interventions.

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“…R-PCI allows operators to manipulate PCI devices remotely sitting at a cockpit located several meters away from the patient, and in addition, the assistant can be at the foot of the bed much further from the access site. The details of the CorPath GRX system were described elsewhere [ 25 , 26 ] . Briefly, the CorPath GRX system consists of an interventional cockpit and a bedside unit ( Fig.…”

Section: Covid-19 and Acsmentioning

confidence: 99%

Robotic-assisted percutaneous coronary intervention in the COVID-19 pandemic

Yamaji

Mitsutake

Nakano

et al. 2022

Journal of Cardiology

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Successful introduction of robotic-assisted percutaneous coronary intervention system into Japanese clinical practice: a first-year survey at single center

Cited by 17 publications

References 13 publications

Establishing a robotic-assisted PCI program: experiences at a large tertiary referral center

Establishing a robotic-assisted PCI program: experiences at a large tertiary referral center

Radiation protection for the interventional cardiologist: Practical approach and innovations

Robotic-assisted percutaneous coronary intervention in the COVID-19 pandemic

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