Robotic assisted carotid artery stenting for the treatment of symptomatic carotid disease: technical feasibility and preliminary results
Robotic assisted carotid artery stenting for the treatment of symptomatic carotid disease: technical feasibility and preliminary results
复制标题
DOI：
10.1136/neurintsurg-2019-015754
复制
发表时间：
2020-04-01
影响因子：
4.8
通讯作者：
Haussen, Diogo C.
中科院分区：
文献类型：
--
作者：
Nogueira, Raul G.;Sachdeva, Rajesh;Haussen, Diogo C.
背景和目的在冠状动脉和外周血管床中越来越多地进行机器人辅助血管内介入治疗。我们的目的是描述机器人辅助平台治疗颈动脉疾病的可行性和初步安全性。MethodsSingle-center technical report of the first four continuous cases of carotid artery stenting for treatment of severe symptomatic carotid stenosis using the CorPath GRX Robotic System（Corindus Inc，Waltham，MA）。（1例发生在60年代早期，3例发生在70年代早期; NASCET狭窄程度：88%、77%、83%和82%）。手术的所有步骤（包括微导丝、栓塞保护系统和血管成形术球囊的输送/取出）均可通过机器人成功执行，但由于与当前机器人平台不兼容，支架的导航/展开除外。所有患者均获得了技术成功，导致狭窄的解决没有任何并发症。未来的研究有必要适当地确定安全性和益处。
Background and purposeRobotic-assisted endovascular interventions have been increasingly performed in the coronary and peripheral vascular beds. We aim to describe the feasibility and initial safety of a robotic-assisted platform for treating carotid artery disease.MethodsSingle-center technical report of the first four consecutive cases of carotid artery stenting for the treatment of severe symptomatic carotid stenosis utilizing the CorPath GRX Robotic System (Corindus Inc, Waltham, MA).ResultsFour patients (one in early 60s and three in early 70s; NASCET degree of stenosis: 88%, 77%, 83% and 82%) with ipsilateral strokes on presentation were treated. All steps of the procedure (including delivery/removal of micro-guidewire, emboli-protection system and angioplasty balloon) could be successfully performed robotically with the exception of navigation/deployment of the stents due to incompatibility with the current robotic platform. Technical success was achieved in all patients resulting in resolution of the stenosis without any complications.ConclusionsRobotic-assisted carotid artery stenting is technically feasible. Future studies are warranted to properly establish safety and benefits.