Technical and Clinical Progress on Robot-Assisted Endovascular Interventions: A Review.

Area of Science:

• Medical Robotics
• Endovascular Interventions
• Surgical Workflow Optimization

Background:

• Minimally invasive surgical platforms have improved endovascular intervention outcomes.
• Concerns persist regarding long-term exposure to cath lab hazards and perioperative risks for patients and interventionalists.

Purpose of the Study:

• To review the current state of robot-assisted vascular interventions.
• To assess research prototypes and commercial products, their technical characteristics, and applications.
• To outline enhancements in perioperative experiences for surgeons and patients.

Main Methods:

• Comprehensive literature search of 130 studies published within the last 20 years (up to 2022).
• Assessment of research-based prototypes and commercial products.
• Analysis of technical features and application domains of robotic platforms.

Main Results:

• Robot-assisted systems offer improved surgical workflow for minimally invasive endovascular procedures.
• Robotic platforms have positively impacted both surgeon and patient perioperative experiences.
• Identified gains and obstacles in the field of vascular interventional robots.

Conclusions:

• Robot-assisted vascular interventions represent a significant advancement in patient care.
• Three key milestones are proposed to guide the development of next-generation vascular interventional robots.
• Continued innovation in robotic platforms is crucial for addressing current challenges and enhancing future procedures.