Robotic Control of a 0.035-Inch Guidewire: Initial Feasibility and First-in-Human Experience.

Abstract

Robotic procedures represent a new frontier for interventional cardiology. 1 Beyar R. Davies J.E. Cook C. Dudek D. Cummins P.A. Bruining N. Robotics, imaging, and artificial intelligence in the catheterisation laboratory. EuroIntervention. 2021; 17: 537-549 Crossref PubMed Scopus (3) Google Scholar The latest generation robotic platform is the CorPath GRX System (Corindus Inc, Waltham, MA), which is composed of an interventional cockpit and a single-use cassette incorporated within a robotic arm. The cassette has a dedicated “wire track” to control 0.014-inch or 0.018-inch wires and a dedicated “device track” to advance and retrieve balloons and stents (Fig. 1A). One limitation of the current cassette is the absence of a specific “track” designed for the commonly used 0.035-inch wire. 2 Chakravartti J. Rao S.V. Robotic-assisted percutaneous coronary intervention: hype or hope?. J Am Heart Assoc. 2019; 8: 1-4 Crossref Scopus (14) Google Scholar The possibility of controlling this wire is important, particularly for peripheral endovascular procedures, in which the 0.035-inch wire is commonly used to advance catheters, balloons, and stents.