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Radiation-Free Percutaneous Coronary Intervention: Myth or Reality?

Sotirios C Kotoulas1, Andreas S Triantafyllis1, Nestoras Kontogiannis1

  • 1Department of Interventional Cardiology, Asklepeion General Hospital, 16673 Athens, Greece.

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Summary
This summary is machine-generated.

Robotic-assisted percutaneous coronary intervention (R-PCI) significantly reduces radiation exposure for healthcare professionals by up to 95%. This technology, combined with advanced shielding and imaging, enhances safety and ergonomics in cardiac catheterization labs.

Keywords:
catheterization laboratorycoronary artery diseasenovel techniquesprotective equipmentradiation-free PCIrobotic PCI

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Area of Science:

  • Interventional Cardiology
  • Medical Technology
  • Occupational Health

Background:

  • Radiation exposure is a significant occupational hazard in cardiac catheterization labs, leading to health issues for staff.
  • Increasing procedural complexity necessitates enhanced safety and precision in percutaneous coronary intervention (PCI).
  • Robotic-assisted PCI (R-PCI) offers a solution to minimize radiation and improve operator ergonomics.

Purpose of the Study:

  • To review current clinical evidence and technological advancements in radiation reduction for PCI.
  • To focus on the role of R-PCI, procedural modifications, and shielding technologies.
  • To explore the integration of advanced imaging like CT-based angiography and AI in minimizing radiation exposure.

Main Methods:

  • Systematic review of clinical trials, registries, and experimental studies.
  • Evaluation of robotic PCI platforms, radiation dose metrics, and ergonomic factors.
  • Analysis of integrated imaging (CCTA, FFR-CT) and low-dose protocols.

Main Results:

  • R-PCI shows high technical (81-100%) and clinical (up to 100%) success rates.
  • Significant reductions in operator radiation exposure (up to 95%) and ergonomic burden.
  • Advanced shielding and integrated imaging further minimize radiation, though device compatibility and haptic feedback remain challenges.

Conclusions:

  • R-PCI, coupled with shielding and imaging, represents a paradigm shift towards safer, radiation-minimizing interventional cardiology.
  • This evolution redefines safety, precision, and sustainability in modern interventional procedures.
  • The integration of technology addresses critical occupational hazards and enhances procedural outcomes.