Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas.
Department of Vascular and Endovascular Surgery, Semmelweis University, Budapest, Hungary.
Tex Heart Inst J. 2022 Mar 1;49(2). doi: 10.14503/THIJ-21-7608.
After the introduction of the first robotic-assisted surgical procedures, the technology soon reached the world of endovascular specialists, giving rise to several publications about robotic-assisted endovascular therapy. Compared with conventional procedures, robotic-assisted procedures can be more accurate and reduce radiation exposure. The latest commercially available endovascular robotic system is the CorPath GRX, which can be operated remotely. Robotic-assisted approaches have proved applicable in the fields of coronary and peripheral vascular intervention and neurointervention. Remote intervention has already proved feasible in the coronary and peripheral vascular systems and, according to expert opinion, could revolutionize acute stroke management as well. We review current knowledge about robotic-assisted therapies and remote interventions, and the future prospects and pitfalls.
自首例机器人辅助手术开展以来,该技术迅速进入了血管内专家的领域,出现了多篇关于机器人辅助血管内治疗的出版物。与传统手术相比,机器人辅助手术更加精确,并能减少辐射暴露。目前市售的最新款血管内机器人系统是 CorPath GRX,可以远程操作。机器人辅助方法已被证明适用于冠状动脉和外周血管介入及神经介入领域。远程干预已经在冠状动脉和外周血管系统中得到证实,根据专家的意见,它也可能彻底改变急性脑卒中的治疗方式。我们回顾了关于机器人辅助治疗和远程干预的现有知识,以及未来的前景和挑战。