循環器ジャーナル70巻3号

2022年07月発行

特集 進化するカテーテルインターベンション—適応の広がりとデバイスの革新 Ⅱ章　冠動脈インターベンション

新しいオートメーション機能を用いたロボット支援下PCI

著者： 石曾根武徳¹ 肥田頼彦² 森野禎浩²

所属機関： ¹岩手県立中部病院循環器内科 ²岩手医科大学内科学講座循環器内科分野

ページ範囲：P.362 - P.368

Point
・ロボットPCIは，術者の放射線被曝や身体的負担の低減，ミリメートル単位の精緻な動作が可能であり，患者の放射線被曝や造影剤投与量が少ないという利点がある．
・新しいオートメーション機能である“TechnIQ”は非常に利便性が高く，今後さらなる進化と発展が期待される．

参考文献

1）Meier B : The first patient to undergo coronary angioplasty--23-year follow-up. N Engl J Med 344 : 144-145, 2001

2）Madder RD, VanOosterhout S, Mulder A, et al : Impact of robotics and a suspended lead suit on physician radiation exposure during percutaneous coronary intervention. Cardiovasc Revasc Med 18 : 190-196, 2017

3）Campbell PT, Kruse KR, Kroll CR, et al : The impact of precise robotic lesion length measurement on stent length selection : ramifications for stent savings. Cardiovasc Revasc Med 16 : 348-350, 2015

4）Mahmud E, Pourdjabbar A, Ang L, et al : Robotic technology in interventional cardiology : Current status and future perspectives. Catheter Cardiovasc Interv 90 : 956-962, 2017

5）Patel TM, Shah SC, Soni YY, et al : Comparison of Robotic Percutaneous Coronary Intervention with Traditional Percutaneous Coronary Intervention : A Propensity Score-Matched Analysis of a Large Cohort. Circ Cardiovasc Interv 13 : e008888, 2020

6）Walters D, Reeves RR, Patel M, et al : Complex robotic compared to manual coronary interventions : 6- and 12-month outcomes. Catheter Cardiovasc Interv 93 : 613-617, 2019

7）Kapur V, Smilowitz NR, Weisz G : Complex robotic-enhanced percutaneous coronary intervention. Catheter Cardiovasc Interv 83 : 915-921, 2014

8）Mahmud E, Dominguez A, Bahadorani J : First-in-human robotic percutaneous coronary intervention for unprotected left main stenosis. Catheter Cardiovasc Interv 88 : 565-570, 2016

9）Mahmud E, Naghi J, Ang L, et al : Demonstration of the Safety and Feasibility of Robotically Assisted Percutaneous Coronary Intervention in Complex Coronary Lesions : Results of the CORA-PCI Study（Complex Robotically Assisted Percutaneous Coronary Intervention）. JACC Cardiovasc Interv 10 : 1320-1327, 2017

10）Patel TM, Shah SC, Pancholy SB : Long Distance Tele-Robotic-Assisted Percutaneous Coronary Intervention : A Report of First-in-Human Experience. EClinicalMedicine 14 : 53-58, 2019

11）Abbas R, Al Saiegh F, El Naamani K, et al : Robot-assisted carotid artery stenting : outcomes, safety, and operational learning curve. Neurosurg Focus 52 : E17, 2022