Abstract
Endovascular intervention is a rapidly evolving field of vascular surgery, allowing more complex aortic pathology to be managed in a minimally invasive fashion. The use of robotic technology in vascular surgery is a comparatively new field of work considering existing applications in general, urological, and orthopaedic surgery. Robotic catheters were introduced for the management of cardiac disease including atrial fibrillation (Saliba et al. 2008; Kanagaratnam et al. 2008) and coronary stent implantation (Beyar et al. 2006). Several commercially available devices have been designed for use within the vascular tree and use a broad variety of engineering principles to facilitate fine motor control of the catheter tip. The Niobe Navigation System (Stereotaxis; St. Louis, MO, USA) was designed for cardiac intervention and consists of two permanent magnets mounted on mechanical positioners on either side of the fluoroscopy table, creating a spherical uniform magnetic field. The computer workstation allows the operator to select the desired field vectors by changing the orientation of the outer magnets relative to each other. The catheter tip consists of small magnetic implants, which are navigated by the magnetic field.
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References
Saliba W, Reddy VY, Wane O, et al. Atrial fibrillation ablation using a robotic catheter remote control system: initial human experience and long-term follow-up results. J Am Coll Cardiol. 2008;51:2407–11.
Kanagaratnam P, Koa-Wing M, Wallace DT, et al. Experience of robotic catheter ablation in humans using a remotely steerable catheter sheath. J Interv Card Electrophysiol. 2008;21:19–26.
Beyar R, Gruberg L, Deleanu D, et al. Remote-control percutaneous coronary interventions. J Am Coll Cardiol. 2006;47:296–300.
Riga C, Bicknell C, Hamady M, Cheshire N. Evaluation of robotic endovascular catheters for arch vessel cannulation. J Vasc Surg. 2011a;54:799–809.
Riga C, Bicknell C, Hamady MS, Cheshire NJ. Robotically steerable catheters in the visceral aortic segment. J Cardiovasc Surg (Torino). 2011b;52:353–62.
Riga C, Cheshire NJ, Hamady M, Bicknell C. The role of robotic endovascular catheters in fenestrated stent grafting. J Vasc Surg. 2010;51:810–20.
Riga C, Bicknell C, Sidhu R, et al. Advanced catheter technology: is this the answer to overcoming the long learning curve in complex endovascular procedures. Eur J Vasc Endovasc Surg. 2011c;42:531–8.
Baum RA, Carpenter JP, Cope C, et al. Aneurysm sac pressure measurements after endovascular repair of abdominal aortic aneurysms. J Vasc Surg. 2001;33:32–41.
Ohki T, Yadav J, Gargiulo N, et al. Preliminary results of an implantable wireless aneurysm pressure sensor in a canine model: will surveillance CT scan following endovascular AAA repair become obsolete? J Endovasc Ther. 2003;10 Suppl 1:32.
Ohki T, Ouriel K, Silveira PG, et al. Initial results of wireless pressure sensing for endovascular aneurysm repair: the APEX Trial-Acute pressure measurement to confirm aneurysm sac exclusion. J Vasc Surg. 2007;45:236–42.
Kpodonu J, Ramaiah VG, Williams J, et al. Novel way to confirm successful endovascular repair of a thoracic aortic aneurysm using a remote wireless pressure sensor. Ann Thorac Surg. 2007;84:272–4.
Diethrich EB, Ramaiah VG, Kpodonu J, Rodriguez JA. Endovascular and hybrid management of the thoracic aorta: a case-based approach. 1st ed. Hoboken: Wiley Blackwell; 2008.
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© 2013 Springer-Verlag London
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Rolls, A. et al. (2013). Future Technology and Customized Solutions for Endoaortic Surgery. In: Kpodonu, J., Haulon, S. (eds) Atlas of Advanced Endoaortic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4027-6_13
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DOI: https://doi.org/10.1007/978-1-4471-4027-6_13
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