Robotic Interventional Neuroradiology: Progress, Challenges, and Future Prospects.

Journal: Seminars in neurology
Published Date: Jun 1, 2023

Abstract

Advances in robotic technology have improved standard techniques in numerous surgical and endovascular specialties, offering more precision, control, and better patient outcomes. Robotic-assisted interventional neuroradiology is an emerging field at the intersection of interventional neuroradiology and biomedical robotics. Endovascular robotics can automate maneuvers to reduce procedure times and increase its safety, reduce occupational hazards associated with ionizing radiations, and expand networks of care to reduce gaps in geographic access to neurointerventions. To date, many robotic neurointerventional procedures have been successfully performed, including cerebral angiography, intracranial aneurysm embolization, carotid stenting, and epistaxis embolization. This review aims to provide a survey of the state of the art in robotic-assisted interventional neuroradiology, consider their technical and adoption limitations, and explore future developments critical for the widespread adoption of robotic-assisted neurointerventions.

Authors

  • Shen Ning
    Department of Radiology, Boston Medical Center, Boston, Massachusetts.
  • Christophe Chautems
    Institute of Robotics and Intelligent Systems, ETH Zurich, Switzerland.
  • Yoonho Kim
    Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA.
  • Hal Rice
    Neurointerventional Section, Gold Coast University Hospital, Queensland, Australia.
  • Uta Hanning
    Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg Eppendorf, Hamburg, Germany.
  • Sami Al Kasab
    Department of Neurology, Medical University of South Carolina, Charleston, South Carolina.
  • Lukas Meyer
    Klinik und Poliklinik für Interventionelle Neuroradiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
  • Marios Psychogios
    Department of Diagnostic and Interventional Neuroradiology, Basel University Hospital, Petersgraben 4, 4031, Basel, Switzerland.
  • Osama O Zaidat
    Department of Neurology, Mercy Vincent Hospital, Toledo, Ohio.
  • Ameer E Hassan
    Clinical Research Department, Valley Baptist Medical Center, Harlingen, TX, USA.
  • Hesham E Masoud
    Department of Neurology, State University of New York Upstate Medical University, Syracuse, NY, USA.
  • Adnan Mujanovic
    Institute of Diagnostic and Interventional Neuroradiology, Institute of Diagnostic, Interventional and Pediatric Radiology and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.
  • Johannes Kaesmacher
    Institute of Diagnostic and Interventional Neuroradiology, Institute of Diagnostic, Interventional and Pediatric Radiology and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.
  • Permesh S Dhillon
    Interventional Neuroradiology, University of Nottingham, Nottingham, United Kingdom.
  • Alice Ma
    Department of Neurosurgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
  • Artem Kaliaev
    Department of Radiology, Boston Medical Center, Boston, Massachusetts.
  • Thanh N Nguyen
    Department of Radiology, Boston Medical Center, Boston, Massachusetts.
  • Mohamad Abdalkader
    Department of Radiology, Boston Medical Center, Boston, Massachusetts.

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