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机器人辅助系统在脑血管疾病介入治疗中的应用现状

陈霈珂,  江裕华

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文章导航 > 协和医学杂志  > 2023 > 优先出版
陈霈珂, 江裕华. 机器人辅助系统在脑血管疾病介入治疗中的应用现状[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2023-0374
引用本文: 陈霈珂, 江裕华. 机器人辅助系统在脑血管疾病介入治疗中的应用现状[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2023-0374
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CHEN Peike, JIANG Yuhua. Application of Robot-assisted System in Cerebrovascular Interventional Therapy[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2023-0374
Citation: CHEN Peike, JIANG Yuhua. Application of Robot-assisted System in Cerebrovascular Interventional Therapy[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2023-0374
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机器人辅助系统在脑血管疾病介入治疗中的应用现状

doi: 10.12290/xhyxzz.2023-0374

  • 北京市神经外科研究所, 北京 100070

基金项目: 

国家重点研发计划（2022YFC2409601）

详细信息
    通讯作者:

    江裕华，E-mail：jxy_200321@163

  • 中图分类号: R651.1；TP3

Application of Robot-assisted System in Cerebrovascular Interventional Therapy

  • Beijing Neurosurgical Institute, Beijing 100070, China

Funds: 

National Key Research and Development Program of China（2022YFC2409601）

    摘要
  • 摘要: 虽然血管内介入术已成为多种心脑血管疾病的主要治疗方式，但该干预策略仍存在一定局限性，如术者具有X线暴露的风险，在操作过程中须穿沉重的铅衣。伴随人工智能技术取得的突破，临床可实现通过导管室外操作机器人辅助系统进而解决上述传统血管内介入治疗的局限性。尤其近年来机器人辅助系统的高速发展进一步提升了血管内介入治疗操作的准确性、稳定性和安全性。本文将围绕机器人辅助系统的优势、已应用于临床脑血管病介入治疗的机器人辅助系统型号及其应用现状展开论述，并对该辅助系统存在的问题进行总结、对未来发展方向进行展望。
    Abstract: Endovascular intervention has become the main treatment method for a variety of cardiovascular and cerebrovascular diseases, but it has some limitations, such as exposure under X-ray during the procedure so that operators need to wear heavy protective garments. With the breakthrough of artificial intelligence, the limitations of the traditional endovascular intervention therapy can be solved by controlling the robot-assisted system outside the operating room. Moreover, the rapid development of the robot-assisted system in recent years has further improved the accuracy, stability, and safety of endovascular intervention therapy. This article focuses on the advantages of the robot-assisted system, the types of the system, its application in clinical treatment, as well as the existing problems of the system and the prospects of its future development.
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    • 参考文献(41)
  • [1] Venketasubramanian N, Yoon BW, Pandian J, et al. Stroke Epidemiology in South, East, and South-East Asia: A Review[J]. J Stroke,2017,19:286-294.
    [2] Ning S, Chautems C, Kim Y, et al. Robotic Interventional Neuroradiology: Progress, Challenges, and Future Prospects[J]. Semin Neurol,2023,43:432-438.
    [3] Rafii-Tari H, Payne CJ, Yang GZ. Current and emerging robot-assisted endovascular catheterization technologies: a review[J]. Ann Biomed Eng,2014,42:697-715.
    [4] Etminan N, Rinkel GJ. Unruptured intracranial aneurysms: development, rupture and preventive management[J]. Nat Rev Neurol,2016,12:699-713.
    [5] UCAS Japan Investigators, Morita A, Kirino T, et al. The natural course of unruptured cerebral aneurysms in a Japanese cohort[J]. N Engl J Med,2012,366:2474-2482.
    [6] Bonneville F, Sourour N, Biondi A. Intracranial aneurysms: an overview[J]. Neuroimaging Clin N Am,2006,16:371-vii.
    [7] Molyneux A, Kerr R, Stratton I, et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial[J]. Lancet,2002,360:1267-1274.
    [8] Raymond J, Guilbert F, Weill A, et al. Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils[J]. Stroke,2003,34:1398-1403.
    [9] Ederle J, Bonati LH, Dobson J, et al. Endovascular treatment with angioplasty or stenting versus endarterectomy in patients with carotid artery stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): long-term follow-up of a randomised trial[J]. Lancet Neurol,2009,8:898-907.
    [10] Andreassi MG, Piccaluga E, Guagliumi G, et al. Occupational Health Risks in Cardiac Catheterization Laboratory Workers[J]. Circ Cardiovasc Interv,2016,9:e003273.
    [11] Kadooka K, Hagenbuch N, Anagnostakou V, et al. Safety and efficacy of balloon angioplasty in symptomatic intracranial stenosis: A systematic review and meta-analysis[J]. J Neuroradiol,2020,47:27-32.
    [12] Vuong SM, Carroll CP, Tackla RD, et al. Application of emerging technologies to improve access to ischemic stroke care[J]. Neurosurg Focus, 2017,42:E8.
    [13] Manners J, Steinberg A, Shutter L. Early management of acute cerebrovascular accident[J]. Curr Opin Crit Care,201723:556-560.
    [14] 韩晓 光,张琦,何达.远程 医疗 机器 人手 术研 究进 展[J].邵阳 学院 学报(自然 科学 版),2022,19:103-107.
    [15] Beaman C, Holodinsky JK, Goyal M, et al. Modeling optimal patient transport in a stroke network capable of remote telerobotic endovascular therapy[J]. Interv Neuroradiol,2022,15910199221140177.
    [16] Patel TM, Shah SC, Pancholy SB. Long Distance Tele-Robotic-Assisted Percutaneous Coronary Intervention: A Report of First-in-Human Experience[J]. EClinicalMedicine,2019,14:53-58.
    [17] Zheng J, Wang Y, Zhang J, et al. 5G ultra-remote robot-assisted laparoscopic surgery in China[J]. Surg Endosc,2020,34:5172-5180.
    [18] Ball T, González-Martínez J, Zemmar A, et al. Robotic Applications in Cranial Neurosurgery: Current and Future[J]. Oper Neurosurg (Hagerstown),2021,21:371-379.
    [19] 王鉴,高翔,张峰等.血管介入机器人辅助介入治疗研究现状[J].介入放射学杂志,2023,32:619-623.
    [20] Beaman C, Gautam A, Peterson C, et al. Robotic Diagnostic Cerebral Angiography: A Multicenter Experience of 113 Patients[J]. J Neurointerv Surg,2023,jnis-2023-020448. doi:  10.1136/jnis-2023-020448.
    [21] Maor E, Eleid MF, Gulati R, et al. Current and Future Use of Robotic Devices to Perform Percutaneous Coronary Interventions: A Review[J]. J Am Heart Assoc,2017,6:e006239.
    [22] Caputo R, Lesser A, Simons A. CRT-313 feasibility of robotic percutaneous renal artery revascularization[J]. JACC-Cardiovasc Int, 2015, 8: S35-S36.
    [23] Britz GW, Panesar SS, Falb P, et al. Neuroendovascular-specific engineering modifications to the CorPath GRX Robotic System[J]. J Neurosurg,2019,133:1830-1836.
    [24] Püschel A, Schafmayer C, Groß J. Robot-assisted techniques in vascular and endovascular surgery[J]. Langenbecks Arch Surg,2022,407:1789-1795.
    [25] Beaman CB, Kaneko N, Meyers PM, et al. A Review of Robotic Interventional Neuroradiology[J]. AJNR Am J Neuroradiol,2021,42:808-814.
    [26] Chivot C, Bouzerar R, Peltier J, et al. Robotically assisted deployment of flow diverter stents for the treatment of cerebral and cervical aneurysms [J]. J Neurointerv Surg,2023,jnis- 2022-019968. doi:  10.1136/jnis-2022-019968.
    [27] Lumsden AB, Bismuth J. Current status of endovascular catheter robotics[J]. J Cardiovasc Surg (Torino),2018,59:310-316.
    [28] Jones B, Riga C, Bicknell C, et al. Robot-Assisted Carotid Artery Stenting: A Safety and Feasibility Study[J]. Cardiovasc Intervent Radiol,2021,44:795-800.
    [29] Lu WS, Xu WY, Pan F, et al. Clinical application of a vascular interventional robot in cerebral angiography[J]. Int J Med Robot,2016,12:132-136.
    [30] Jiang Y, Liu K, Li Y. Initial Clinical Trial of Robot of Endovascular Treatment with Force Feedback and Cooperating of Catheter and Guidewire[J]. Appl Bionics Biomech,2018,2018:9735979.
    [31] Sajja KC, Sweid A, Al Saiegh F, et al. Endovascular robotic: feasibility and proof of principle for diagnostic cerebral angiography and carotid artery stenting[J]. J Neurointerv Surg,2020,12:345-349.
    [32] Yang C, Guo S, Bao X, et al. A vascular interventional surgical robot based on surgeon's operating skills[J]. Med Biol Eng Comput,2019,57:1999-2010.
    [33] Cancelliere NM, Lynch J, Nicholson P, et al. Robotic-assisted intracranial aneurysm treatment: 1 year follow-up imaging and clinical outcomes[J]. J Neurointerv Surg,2022,14:1229-1233.
    [34] Mendes Pereira V, Cancelliere NM, Nicholson P, et al. First-in-human, robotic-assisted neuroendovascular intervention[J]. J Neurointerv Surg,2020,12:338-340.
    [35] George JC, Tabaza L, Janzer S. Robotic-assisted balloon angioplasty and stent placement with distal embolic protection device for severe carotid artery stenosis in a highrisk surgical patient[J]. Catheter Cardiovasc Interv, 2020,96:410-412.
    [36] Weinberg JH, Sweid A, Sajja K, et al. Comparison of robotic-assisted carotid stenting and manual carotid stenting through the transradial approach[J]. J Neurosurg,2020,135:21- 28.
    [37] Legeza PT, Lettenberger AB, Murali B, et al. Evaluation of Robotic-Assisted Carotid Artery Stenting in a Virtual Model Using Motion-Based Performance Metrics[J]. J Endovasc Ther,2022,15266028221125592. doi:  10.1177/15266028221125592.
    [38] Mendes Pereira V, Cancelliere NM, Nicholson P, et al. First-in-human, robotic-assisted neuroendovascular intervention[J]. J Neurointerv Surg,2020,12:338-340.
    [39] 童静,储呈晨,李斌.血管介入手术机器人及其力反馈技术研究进展[J].中国普通外科杂志,2023,32:915- 922.
    [40] Crinnion W, Jackson B, Sood A, et al. Robotics in neurointerventional surgery: a systematic review of the literature[J]. J Neurointerv Surg,2022,14:539-545.
    [41] 韩晓光,朱小龙,姜宇桢,等. 人工智能与机器人辅助医学发展研究[J/OL]. 中国工程科学,2023. doi:  10.15302/J-SSCAE-2023.

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出版历程
  • 收稿日期:  2023-08-11
  • 录用日期:  2023-10-10
  • 网络出版日期:  2023-11-06

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