Robot-assisted fenestrated endovascular aneurysm repair (FEVAR) using the Magellan system
Celia V Riga1, Colin D Bicknell, Alexander Rolls
1Regional Vascular Unit, Department of Vascular Surgery & Interventional Radiology, Imperial College Healthcare, Room 1029, 10th floor, St Mary's Hospital, London, United Kingdom W2 1NY. c.riga@imperial.ac.uk
Abstract:
A 67-year-old man underwent robot-assisted three-vessel fenestrated endovascular aneurysm repair (FEVAR) for a 7.3-cm juxtarenal aneurysm. The 6-F robotic catheter was manipulated from a remote workstation, away from the radiation source. Robotic cannulation of the left renal artery was achieved within 3 minutes. System setup time was 5 minutes. There were no postoperative complications. Computed tomography angiography performed at discharge and at 4-month follow-up confirmed target vessel patency with no evidence of an endoleak. Selective cannulation of target vessels during FEVAR using this novel technology is feasible. Endovascular robotics may have a role in simplifying complex endovascular tasks and potentially reducing radiation exposure to the operator.