Department of Internal Medicine, Sanford Cardiovascular Institute, Sanford USD Medical Center, University of South Dakota-Sanford School of Medicine, Sioux Falls, South Dakota 57105.
Tex Heart Inst J. 2020 Apr 1;47(2):144-148. doi: 10.14503/THIJ-17-6350.
Robotic-assisted percutaneous coronary intervention can reduce the exposure of interventional cardiologists to radiation and minimize the risk of occupational orthopedic injuries from wearing heavy protective aprons. The PRECISE (Percutaneous Robotically-Enhanced Coronary Intervention) study showed the efficacy and safety of robotic-assisted procedures for relatively low-risk lesions in single coronary arteries. Several reports have described robotic-assisted treatment of complex high-risk lesions, mostly through the transfemoral approach. We report 4 cases of patients in whom we used the transradial approach to treat complex lesions in the left anterior descending coronary artery with bifurcation balloon angioplasty reconstruction (2 cases), in the ostium of the first diagonal branch, and in the right coronary artery.
机器人辅助经皮冠状动脉介入术可以减少介入心脏病学家接触辐射的机会，并最大限度地降低因穿着厚重防护围裙而导致职业骨科损伤的风险。PRECISE（经皮机器人增强冠状动脉介入）研究表明，机器人辅助治疗单支冠状动脉相对低危病变的有效性和安全性。有几项报告描述了机器人辅助治疗复杂高危病变，主要通过经股动脉入路。我们报告了 4 例患者，我们使用经桡动脉入路治疗左前降支分叉球囊血管成形术重建（2 例）、第一对角支开口和右冠状动脉的复杂病变。
