Hofmann Felix J, Dörr Oliver, Blachutzik Florian, Elsässer Albrecht, Möllmann Helge, Köhne Alessa-Janine, Nef Holger M
Department of Cardiology and Angiology, University Hospital of Giessen and Marburg, Klinikstraße 33, 35392 Giessen, Germany.
Department of Cardiology, Klinikum Oldenburg, Rahel- Straus-Straße 10 26133 Oldenburg, Germany.
Eur Heart J Case Rep. 2023 Mar 4;7(3):ytad089. doi: 10.1093/ehjcr/ytad089. eCollection 2023 Mar.
Robotically assisted remote-controlled PCI (rPCI) was introduced in the past decade as one of the latest enhancements in this rapidly evolving field. The use of a second-generation rPCI system in ST-elevation myocardial infarction (STEMI) is an effort to couple immediate revascularization with the accuracy of newer robotic assistance and software support.
Here we report on the safety and efficacy of rPCI applied to a 74-year-old female STEMI patient with persistent acute chest pain as well as regional wall motion abnormalities in the echocardiogram. The first medical contact-to-device time was 76 min, and door-to-balloon time was 33 min. The impatient course was uneventful, so the patient was discharged from hospital after 5 days. To the best of our knowledge, this is the first report of the successful application of second-generation rPCI in STEMI.
In the case presented, rPCI was feasible and safe even in acute coronary syndrome based on a single-centre experience. rPCI is a revolutionary new technique that may be applied to various types of clinical presentations.
过去十年间，机器人辅助遥控经皮冠状动脉介入治疗（rPCI）作为这一快速发展领域的最新进展之一被引入。在ST段抬高型心肌梗死（STEMI）中使用第二代rPCI系统，旨在将即刻血运重建与新型机器人辅助和软件支持的准确性相结合。
在此，我们报告rPCI应用于一名74岁女性STEMI患者的安全性和有效性，该患者持续存在急性胸痛，超声心动图显示局部室壁运动异常。首次医疗接触至器械时间为76分钟，门球时间为33分钟。病程顺利，患者于5天后出院。据我们所知，这是第二代rPCI在STEMI中成功应用的首例报告。
基于单中心经验，在本病例中，rPCI即使在急性冠状动脉综合征中也是可行且安全的。rPCI是一项革命性的新技术，可应用于各种临床情况。
