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Canadian Journal of Cardiology

Robotic control of a 0.035” guide-wire: initial feasibility and first-in-human experience.

Published:August 03, 2022DOI:https://doi.org/10.1016/j.cjca.2022.07.012
      Robotic procedures represent a new frontier for interventional cardiology [
      • Beyar Rafael
      • Davies JustinE.
      • Cook Christopher
      • Dudek Dariusz
      • Cummins PaulA.
      Bruining NRobotics,imaging,and artificial intelligence in the catheterisation laboratory.
      ]. The latest generation robotic platform is the CorPath®GRXSystem(CorindusInc.,Massachusetts,USA), which is composed of an interventional cockpit and a single use cassette incorporate within a robotic arm. The cassette has a dedicated “wire track” to control 0.014” or 0.018” wires and a dedicated “device track” to advance/retrieve balloons and stents (Fig.1A). One limitation of the current cassette is the absence of a specific “track” designed for the commonly utilized 0.035” wire[
      • ChakravarttiJ RaoSV.
      Robotic assisted percutaneous coronary intervention:Hype or hope?.
      ]. The possibility of controlling this wire is important particularly for peripheral endovascular procedures, where the 0.035’’wire is commonly used to advance catheters, balloons and stents.
      Figure thumbnail gr1
      Figure 1Standard cassette arrangement: balloon into the ‘device track’(blue-arrow) and wire into the dedicated ‘wire track’(purple-arrow)(A). Novel cassette:0.035’’guidewire into the ‘device track’. (yellow arrow)(B). 3D-patient specific model (C) Feasibility of our novel technique in model (D). In human robotic-controlled cannulation of right coronary artery(red-arrow=0.035 wire; light blue=AR2 catheter)(E-F).

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      References

        • Beyar Rafael
        • Davies JustinE.
        • Cook Christopher
        • Dudek Dariusz
        • Cummins PaulA.
        Bruining NRobotics,imaging,and artificial intelligence in the catheterisation laboratory.
        EuroIntervention. 2021; 17: 537-549
        • ChakravarttiJ RaoSV.
        Robotic assisted percutaneous coronary intervention:Hype or hope?.
        JAmHeartAssoc. 2019; 8: 1-4