Robotic procedures represent a new frontier for interventional cardiology.
1
The latest generation robotic platform is the CorPath GRX System (Corindus Inc, Waltham,
MA), which is composed of an interventional cockpit and a single-use cassette incorporated
within a robotic arm. The cassette has a dedicated “wire track” to control 0.014-inch
or 0.018-inch wires and a dedicated “device track” to advance and retrieve balloons
and stents (Fig. 1A). One limitation of the current cassette is the absence of a specific “track” designed
for the commonly used 0.035-inch wire.
2
The possibility of controlling this wire is important, particularly for peripheral
endovascular procedures, in which the 0.035-inch wire is commonly used to advance
catheters, balloons, and stents.
Figure 1(A) Standard cassette arrangement: balloon into the device track (blue arrow) and wire into the dedicated wire track (purple arrow). (B) Novel cassette: 0.035-inch guidewire into the device track (yellow arrow). (C) Three-dimensional patient-specific model. (D) Feasibility of our novel technique in model. (E, F) In human robotic-controlled cannulation of right coronary artery (red arrow = 0.035-inch wire; light blue = AR2 catheter).
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References
- Robotics, imaging, and artificial intelligence in the catheterisation laboratory.EuroIntervention. 2021; 17: 537-549
- Robotic-assisted percutaneous coronary intervention: hype or hope?.J Am Heart Assoc. 2019; 8: 1-4
Article Info
Publication History
Published online: August 03, 2022
Accepted:
July 17,
2022
Received:
January 17,
2022
Footnotes
See page 1773 for disclosure information.
Identification
Copyright
© 2022 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
