Robotic vs Manual Percutaneous Coronary Intervention-Boon or a Bane?
Author Type(s)
Faculty
Document Type
Abstract
Publication Date
5-2021
DOI
10.1016/S0735-1097%2821%2902383-4
Journal Title
Journal of the American College of Cardiology
Department
Medicine
Abstract
Background
Robotics in percutaneous coronary intervention (PCI) has been one such area of advancement where potential benefits may include reduction in operator radiation exposure, contrast use, and reduced rate of adverse events. Limited data exists about the benefits of robotic assisted PCI vs conventional manual PCI. We appraised the latest evidence in the form of a meta-analysis of all randomized controlled trials (RCTs).
Methods
A comprehensive literature search was performed in PubMed, Embase, and Cochrane to identify relevant trials. Summary effects were calculated using a DerSimonian and Laird random effects model as odds ratio with 95% confidence intervals for all the clinical endpoints. All studies adhering to the inclusion criteria of direct comparisons between robotic and manual PCI were evaluated.
Results
Seven RCTs with 2,230 patients were identified. There was significant decrease in the chest-level operator radiation exposure in the robotic arm as compared to the conventional arm. Fluoroscopy time, PCI time and the amount of contrast used was not statistically different between the two groups. Also, rates of major adverse cardiac events, all-cause mortality, stroke and myocardial infarction were not different between the two groups.
Conclusion
Robotic PCI is associated with reduced operator radiation exposure. However, the clinical outcomes are not different compared to manual PCI.
Recommended Citation
Gupta, R., Malik, A., Saqi, B., Tariq, U., Mehta, N., Aronow, W., Vyas, A., & Patel, N. (2021). Robotic vs Manual Percutaneous Coronary Intervention-Boon or a Bane?. Journal of the American College of Cardiology, 77 (18 Suppl. 1), 1024. https://doi.org/10.1016/S0735-1097%2821%2902383-4