Mangels Daniel R, Giri Jay, Hirshfeld John, Wilensky Robert L
Department of Medicine, University of Pennsylvania, 3400 Spruce Street, 100 Centrex, Philadelphia, Pennsylvania.
Division of Cardiovascular Medicine, University of Pennsylvania, 3400 Civic Center Blvd, 11th Floor, South Pavilion, Philadelphia, Pennsylvania.
Catheter Cardiovasc Interv. 2017 Nov 15;90(6):948-955. doi: 10.1002/ccd.27205. Epub 2017 Jul 19.
Performance of percutaneous coronary intervention (PCI) is associated with several occupational hazards including radiation exposure and musculoskeletal injury. Current methods to mitigate these risks range from suspended radiation suits to adjustable lead-lined glass shields. Robotic-assisted PCI is a novel approach to PCI that utilizes remote-controlled technology to manipulate catheters thereby significantly reducing radiation exposure to the operator and catheterization laboratory staff. Although limited, current evidence indicates that robotic-assisted PCI is associated with a high technical success rate and may have additional advantages over conventional PCI, such as a decreased incidence of geographical miss. However, as the technology is nascent, further studies including larger, randomized controlled trials are needed to expand on the long-term clinical and safety outcomes.
经皮冠状动脉介入治疗（PCI）的操作存在多种职业危害，包括辐射暴露和肌肉骨骼损伤。目前减轻这些风险的方法包括悬挂式辐射防护服和可调节的铅衬玻璃屏蔽。机器人辅助PCI是一种新型的PCI方法，它利用遥控技术操作导管，从而显著减少操作人员和心导管室工作人员的辐射暴露。尽管目前证据有限，但现有证据表明，机器人辅助PCI具有较高的技术成功率，并且可能比传统PCI具有更多优势，如减少“地理错失”的发生率。然而，由于该技术尚处于起步阶段，需要开展包括更大规模随机对照试验在内的进一步研究，以拓展其长期临床和安全性结果。
