Work

Transatlantic Telerobotic Coronary Angiography

Year: 2024

Type: article

Abstract: Background: Patients in many underserved geographies lack access to invasive coronary angiography (ICA). Objectives: This preclinical study explored the feasibility of telerobotic ICA between separate continents. Methods: Using a novel robotic system, attempts were made to navigate a magnetic guidewire and diagnostic catheter from the aortic arch into a target coronary artery ostium in a fluid-filled cardiac model. The model and robotic system were located in Zürich, Switzerland. The operating physician was either "onsite" in the laboratory in Zürich or "transatlantic," in which the physician remotely controlled the robot from Grand Rapids, Michigan, USA. An onsite control group of 40 manual catheterization cases was made for comparison. The primary endpoint was technical success (catheter engagement into target ostium without conversion to manual). A secondary endpoint was engagement time (time from initial robotic manipulation to engagement in target ostium). Results: < 0.001). Conclusions: In this preclinical study, the proof-of-concept for telerobotic ICA was successfully demonstrated. Furthermore, the current limits of telerobotic capabilities were tested by conducting ICA between separate continents and showing that transatlantic telerobotic navigation of endovascular devices is now technically possible.

Source: JACC Advances

DOI: 10.1016/j.jacadv.2024.101456

Authors: Ryan D. Madder, Stacie VanOosterhout, Jessica L. Parker, Alessandro Candreva

Institutions: Corewell Health, University Hospital Zurich

Language: English

Topic: Coronary Interventions and Diagnostics

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,850