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Robotic-Assisted Percutaneous Coronary Intervention Through Transradial Approach: Experience in 4 Patients with
Amornpol Anuwatworn1, Muhammad Ali Kahn1, Tomasz Stys1
1Department of Internal Medicine, Sanford Cardiovascular Institute, Sanford USD Medical Center, University of South Dakota-Sanford School of Medicine, Sioux Falls, South Dakota 57105.
Texas Heart Institute Journal
|July 1, 2020
Summary
Robotic-assisted percutaneous coronary intervention offers safety benefits for cardiologists. This case series explores the transradial approach for complex coronary lesions, demonstrating its feasibility and potential in robotic procedures.
Area of Science:
- Interventional Cardiology
- Medical Robotics
Background:
- Robotic-assisted percutaneous coronary intervention (PCI) reduces radiation exposure and orthopedic risks for cardiologists.
- The PRECISE study established robotic PCI efficacy for low-risk lesions.
- Limited data exists on robotic PCI for complex lesions via the transradial approach.
Observation:
- This report details four cases utilizing the transradial approach for complex coronary interventions with robotic assistance.
- Procedures included treating complex lesions in the left anterior descending artery, a bifurcation lesion, the first diagonal branch ostium, and the right coronary artery.
Findings:
- The transradial approach was successfully employed for robotic-assisted PCI in complex coronary anatomies.
- Specific complex lesion subsets treated included bifurcation lesions and ostial lesions.
Implications:
- The transradial approach is a feasible alternative for robotic-assisted complex PCI.
- This technique may expand the application of robotic PCI to a wider range of challenging coronary anatomies.
- Further research is warranted to evaluate outcomes in larger patient cohorts.
