Current status and future directions of Robotic PCI: A review

Author(s): Konstantinos Bermpeis, Dario Tino Bertolone, Hirofumi Ohashi, Arif Khokhar, Attilio Leone, Marta Belmonte, Emanuele Gallinoro, Pasquale Paolisso, Dimitri Buytaert, Adriana ZlahodaHuzior, Jozef Bartunek, Marc Vanderheyden,Carlos Collet, Jeroen Sonck, Emanuele Barbato,Bernard de Bruyne, Dariusz Dudek, Eric Wyffels

The last 35 years robotic systems were introduced in the medical field with an increasing recognition of their possible benefits for both patients and physicians. Robotic Percutaneous Coronary Intervention (R-PCI) is an approach where the operator manipulates guidewires and catheter devices remotely from a radiation-shielded cockpit. Trials evaluating R-PCI demonstrated high technical and procedural success with low complication rate.

R-PCI provides several advantages over conventional manually-performed PCI, in terms of reduction in radiation exposure and occupational hazards, enhanced procedural precision and the possibility of performing remote tele-stenting procedures.

While significant improvements have been done in the technical capabilities of R-PCI during the last years there are still several limitations that we have to overcome as this technology continues to evolve.

This review examines the current role and applications of R-PCI in the catheterization laboratory and the potential to impact future practice.