[Robotic percutaneous coronary intervention: current evidence, practical aspects and future perspectives].

Area of Science:

• Cardiovascular Interventions
• Medical Robotics
• Interventional Cardiology

Background:

• Robotic percutaneous coronary intervention (R-PCI) is an emerging technology.
• It aims to enhance operator safety and procedural precision during cardiac interventions.
• The cardiologist operates guidewires, catheters, and devices from a remote cockpit.

Purpose of the Study:

• To evaluate the efficacy and safety of R-PCI.
• To identify the advantages and limitations of R-PCI in clinical practice.

Main Methods:

• Review of existing studies on R-PCI.
• Analysis of procedural success rates and complication profiles.
• Assessment of R-PCI's performance in various anatomical complexities.

Main Results:

• Studies show high procedural success rates and low complication rates with R-PCI.
• Key benefits include accurate stent placement, reduced radiation exposure, and fewer orthopedic injuries for operators.
• Limited experience exists for R-PCI in complex anatomies, often necessitating manual assistance.

Conclusions:

• R-PCI is a promising novel approach in interventional cardiology.
• Current limitations include incompatibility with certain materials, lack of tactile feedback, and single-wire/device management.
• Further investigation is needed to overcome these limitations and expand R-PCI's applicability.