Pescio Matteo, Kundrat Dennis, Dagnino Giulio
Bioengineering, Polytechnic University of Turin, Turin, Italy.
University of Turin, Turin, Italy.
Minim Invasive Ther Allied Technol. 2025 Jun;34(3):239-252. doi: 10.1080/13645706.2025.2454237. Epub 2025 Jan 21.
Endovascular interventions excel in treating cardiovascular diseases in a minimally invasive manner, showing improved outcomes over open techniques. However, challenges related to precise navigation - still relying on 2D fluoroscopy - persist. This review examines the role of robotics, highlighting commercial and research platforms, while exploring emerging trends like MRI compatibility, enhanced navigation, and autonomy. MRI-compatible systems offer radiation-free 3D imaging. Human-robot interaction evolves with task-specific interfaces, while autonomy ranges from partial to full, aiding clinical operators. Challenges include complexity and cost, emphasizing compatibility and navigation advancements. Integrating MRI-compatible robots, refining human-robot interaction, and enhancing autonomy promise advancements in endovascular surgery, fueled by AI and innovative imaging.
血管内介入治疗在以微创方式治疗心血管疾病方面表现出色，与开放技术相比，治疗效果有所改善。然而，与精确导航相关的挑战仍然存在，目前仍依赖二维荧光透视。本文综述探讨了机器人技术的作用，重点介绍了商业和研究平台，同时探索了诸如磁共振成像兼容性、增强导航和自主性等新兴趋势。磁共振成像兼容系统提供无辐射的三维成像。人机交互通过特定任务的界面不断发展，自主性则从部分自主到完全自主，辅助临床操作人员。挑战包括复杂性和成本，强调兼容性和导航技术的进步。集成磁共振成像兼容机器人、完善人机交互以及增强自主性有望推动血管内手术取得进展，人工智能和创新成像技术将为其提供助力。
