Robotic Percutaneous Coronary Intervention
A robotic system for performing percutaneous coronary intervention (PCI) is now clinically available. The system consists of a bedside robotic arm, a disposable cassette, and a lead-lined cockpit that houses the robotic controls. Robotic PCI allows operators to perform the PCI from a seated position from within the cockpit. Robotic PCI is associated with high technical and procedural success rates, and has been demonstrated to reduce physician radiation exposure by >95% when compared with manual PCI. Additionally, robotic PCI eliminates the need for the physician operator to wear traditional lead apparel, and thus robotic PCI has the potential to reduce the risk of orthopedic injury over time. Regarding potential patient benefits, the robotic system is capable of accurately measuring lesion length, which may reduce the risk of longitudinal geographic miss during PCI. This chapter provides an overview of robotic PCI, including a description of the robotic system, the benefits of robotic PCI, the current limitations of robotic PCI, and future applications of robotic technology in the catheterization laboratory.
KeywordsRobotic PCI Radiation safety Orthopedic injury Longitudinal geographic miss Telestenting
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