Endovascular robotics: technical advances and future directions.

Journal: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy
Published Date:

Abstract

Endovascular interventions excel in treating cardiovascular diseases in a minimally invasive manner, showing improved outcomes over open techniques. However, challenges related to precise navigation - still relying on 2D fluoroscopy - persist. This review examines the role of robotics, highlighting commercial and research platforms, while exploring emerging trends like MRI compatibility, enhanced navigation, and autonomy. MRI-compatible systems offer radiation-free 3D imaging. Human-robot interaction evolves with task-specific interfaces, while autonomy ranges from partial to full, aiding clinical operators. Challenges include complexity and cost, emphasizing compatibility and navigation advancements. Integrating MRI-compatible robots, refining human-robot interaction, and enhancing autonomy promise advancements in endovascular surgery, fueled by AI and innovative imaging.

Authors

  • Matteo Pescio
    Bioengineering, Polytechnic University of Turin, Turin, Italy.
  • Dennis Kundrat
    Hamlyn Centre for Robotic Surgery, Imperial College London, London SW7 2AZ, UK.
  • Giulio Dagnino
    Department of Advanced Robotics, Istituto Italiano di Tecnologia, Genoa, Italy.