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Haptic Telerobotic Cardiovascular Intervention: A Review of Approaches, Methods, and Future Perspectives
Insights
Haptic telerobotic cardiovascular interventions offer reduced X-ray exposure for medical staff. This review explores current technologies, limitations, and future directions for enhancing surgical outcomes and safety in cardiac procedures.
Area of Science:
- Cardiovascular Interventions
- Robotics
- Medical Imaging
Background:
- Cardiac diseases are a leading cause of global mortality and morbidity.
- Percutaneous cardiac intervention (PCI) is standard for coronary artery stenosis but involves significant X-ray exposure risks for staff.
- Telerobotic systems improve outcomes and reduce radiation but lack haptic feedback, a key limitation.
Purpose of the Study:
- To review the state of the art in haptic telerobotic cardiovascular interventions.
- To identify leading research disciplines and methodologies in the field.
- To outline current limitations and future research perspectives.
Main Methods:
- Conducted a literature survey of haptic telerobotic cardiovascular interventions published between 2000 and 2019.
- Screened literature for relevance and identified key research areas.
- Critically reviewed sensor-based and model-based approaches, haptic rendering, and actuation methods.
Main Results:
- Identified significant advancements in telerobotic systems for cardiovascular interventions.
- Highlighted the critical role of haptic feedback in improving surgical precision and safety.
- Compared various sensor-based and model-based haptic rendering and actuation techniques.
Conclusions:
- Haptic telerobotic systems show promise for safer and more effective cardiovascular interventions.
- Further research is needed to overcome current limitations in haptic feedback integration and system performance.
- Future perspectives include enhanced haptic rendering, improved actuation, and broader clinical adoption.
Abstract:
Cardiac diseases are recognized as the leading cause of mortality, hospitalization, and medical prescription globally. The gold standard for the treatment of coronary artery stenosis is the percutaneous cardiac intervention that is performed under live X-ray imaging. Substantial clinical evidence shows that the surgeon and staff are prone to serious health problems due to X-ray exposure and occupational hazards. Telerobotic vascular intervention systems with a master-slave architecture reduced the X-ray exposure and enhanced the clinical outcomes; however, the loss of haptic feedback during surgery has been the main limitation of such systems. This paper is a review of the state of the art for haptic telerobotic cardiovascular interventions. A survey on the literature published between 2000 and 2019 was performed. Results of the survey were screened based on their relevance to this paper. Also, the leading research disciplines were identified based on the results of the survey. Furthermore, different approaches for sensor-based and model-based haptic telerobotic cardiovascular intervention, haptic rendering and actuation, and the pertinent methods were critically reviewed and compared. In the end, the current limitations of the state of the art, unexplored research areas as well as the future perspective of the research on this technology were laid out.
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