Robot-assisted coronary intervention program @MGH – The first CorPath Vascular Robotic System, lets Interventional Cardiologists position the right stent in the right place at reduces radiation exposure by 95%
Reporter: Aviva Lev-Ari, PhD, RN
Robot in the cath lab takes surgeons out of radiation’s way
October 3, 2016 By Abigail Esposito Leave a Comment
The system consists of a bedside unit and an interventional cockpit. Developer Corindus Vascular Robotics says the radiation-shielded cockpit features a control console with simple-to-use controls for the precise positioning of guidewires, balloons and stent catheters.
An interventional cardiologist loads the single use cassette and later manually introduces the guiding catheter into the coronaries. At that time, the physician can remove their lead covers and sit behind the Interventional Cockpit to perform the remainder of their procedure.
Harmful Exposures in the Cath Lab:
- One study of self-reported brain tumors in interventionists showed that 86% of the tumors were left-brain—the side of the head most often exposed to radiation during procedures.
- There’s also the risk of orthopedic injuries from wearing the heavy, leaded equipment used to block radiation (interventionists practicing over 21 years suffer a 60% incidence of spine issues) and
- Cataracts, another effect of radiation exposure in interventionists. In a RELID study (Retrospective Evaluation of Lens Injuries and Dose), 50% of interventional cardiologists had posterior subcapsular lens changes (precursors to cataracts) caused by radiation exposure, versus less than 10% in the control group.
Benefits of CorPath Vascular Robotic System
One trial (Percutaneous Robotically-Enhanced Coronary Intervention Study) showed a
- 95.2% reduction in radiation exposure for the primary operator,
- 98.8% device success and
- 97.6% clinical success with no device-related complications. What’s more, the trial saw a
- 9% reduction in stent use as compared to historical data.
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