First case report of a percutaneous coronary intervention with intracoronary lithotripsy in a heavily calcified and tortuous right coronary artery using the R-One+ robotic system.

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS European Heart Journal: Case Reports Pub Date : 2024-10-21 eCollection Date: 2024-11-01 DOI:10.1093/ehjcr/ytae563
Milad Golabkesh, Diana Mundfortz, Michael Haude
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Abstract

Background: Advancement in interventional techniques has significantly improved the ability of percutaneous coronary intervention (PCI) to treat complex coronary artery disease. Despite these advancements, coronary artery calcification poses a substantial challenge during PCI, contributing to increased risks of procedural complications, prolonged procedure duration, and an increase in radiation exposure dose for both patients and physicians. Recently, robotic PCI has emerged, allowing physicians to remotely control and deliver wires and catheters, leading to a notable reduction of the operator radiation exposure and a decrease in the risk of operator physical injuries such as back pain.

Case summary: We report the first robotic PCI with the R-One+™ robotic system using intracoronary lithotripsy for lesion preparation of two heavily calcified lesions in a tortuous right coronary artery of a 60-year-old male patient followed by double drug-eluting stent implantation.

Discussion: Robotic PCI with the R-One+™ system can not only manage wires, balloons, or stent systems but can also precisely position more bulky catheters such as intracoronary lithotripsy catheters to the target site even in the presence of a tortuous access.

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使用R-One+机器人系统对严重钙化和迂曲的右冠状动脉进行经皮冠状动脉介入治疗和冠状动脉内碎石术的首例病例报告。
背景:介入技术的进步大大提高了经皮冠状动脉介入治疗(PCI)治疗复杂冠状动脉疾病的能力。尽管取得了这些进步,但冠状动脉钙化仍是 PCI 过程中的一大挑战,会增加手术并发症的风险、延长手术时间,并增加患者和医生的辐射暴露剂量。病例摘要:我们报告了首例使用 R-One+™ 机器人系统进行的机器人 PCI,该手术使用冠状动脉内碎石术对一名 60 岁男性患者右冠状动脉迂曲处的两个严重钙化病变进行病变准备,随后植入双药物洗脱支架:使用R-One+™系统的机器人PCI不仅可以管理导线、球囊或支架系统,还可以将冠状动脉内碎石导管等更笨重的导管精确定位到目标部位,即使是在迂曲的通路中。
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来源期刊
European Heart Journal: Case Reports
European Heart Journal: Case Reports Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.30
自引率
10.00%
发文量
451
审稿时长
14 weeks
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