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Endovascular robotics: technical advances and future directions.

Matteo Pescio1,2, Dennis Kundrat3, Giulio Dagnino2,4

  • 1Bioengineering, Polytechnic University of Turin, Turin, Italy.

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
|January 21, 2025
PubMed
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Robotic systems enhance minimally invasive endovascular interventions with improved navigation. Future advancements focus on MRI compatibility and autonomy for safer, more precise cardiovascular procedures.

Keywords:
Endovascular roboticsMR-guided interventionscomputer-assisted surgeryhuman-robot interfacesrobot autonomy

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Area of Science:

  • Medical Robotics
  • Cardiovascular Surgery
  • Medical Imaging

Background:

  • Endovascular interventions offer minimally invasive treatment for cardiovascular diseases with better outcomes than open surgery.
  • Current endovascular navigation relies on 2D fluoroscopy, posing challenges for precise instrument placement.
  • Robotic assistance is emerging to overcome these navigation limitations.

Purpose of the Study:

  • To review the current role and future potential of robotics in endovascular interventions.
  • To explore advancements in robotic navigation, imaging, and autonomy.
  • To identify challenges and opportunities in integrating robotic systems into clinical practice.

Main Methods:

  • Review of commercial and research-based robotic platforms for endovascular surgery.
  • Analysis of emerging trends including MRI compatibility, enhanced navigation techniques, and varying levels of autonomy.
  • Discussion of human-robot interaction and integration challenges.

Main Results:

  • Robotic platforms offer improved precision and control in endovascular procedures.
  • MRI-compatible robotic systems provide radiation-free 3D imaging, enhancing visualization.
  • Advancements in human-robot interfaces and autonomous control are improving clinical workflow.

Conclusions:

  • Robotics holds significant promise for advancing endovascular surgery.
  • Integrating MRI-compatible robots, refining human-robot interaction, and increasing autonomy are key future directions.
  • AI and innovative imaging will further drive progress in robotic endovascular interventions.