The association between experience and proficiency with robotic-enhanced coronary intervention-insights from the PRECISE multi-center study.

MedStar author(s):
Citation: Acute Cardiac Care. 16(2):37-40, 2014 Jun.PMID: 24654789Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | Multicenter Study | Research Support, Non-U.S. Gov'tSubject headings: *Clinical Competence | *Coronary Occlusion/su [Surgery] | *Learning Curve | *Percutaneous Coronary Intervention/mt [Methods] | *Robotics | Aged | Cardiology | Female | Humans | Male | Middle Aged | Operative Time | StentsYear: 2014ISSN:
  • 1748-2941
Name of journal: Acute cardiac careAbstract: CONCLUSIONS: After performing 3 cases, interventionalists were able to complete robotic-enhanced PCI faster, with reduced radiation, and without compromising safety. The steep learning curve highlights the easy adoption of remote-control robotic technology for PCI.METHODS: The CorPath 200 robotic system was used to perform clinically indicated PCI. The first 3 cases performed by each interventional cardiologist were considered early-experience cases and subsequent procedures were regarded as advanced-experience cases. We compared procedure efficiency, patient radiation exposure, and clinical outcomes in early and advanced-experience cases.OBJECTIVES: The PRECISE multi-center study demonstrated the safety and feasibility of robotic-enhanced coronary intervention (PCI). We studied the learning curve associated with the robotic PCI approach.RESULTS: A total of 164 robotic-enhanced PCI procedures were performed, with 60 early-experience cases. Advanced-experience cases were associated with shorter procedure duration (51.3 + 25.5 min vs. 42.2 + 16.4 min, P = 0.008) and fluoroscopy time (12.9 + 7.8 min vs. 10.1 + 4.8 min, 0.009) as compared to early-experience cases.All authors: Caputo R, Carrozza JP, Delgado J, Granada JF, Marshall JJ, Metzger DC, Moses JW, Pichard A, Reisman M, Smilowitz NR, Vetrovec G, Waksman R, Weisz GFiscal year: FY2014Digital Object Identifier: Date added to catalog: 2014-11-11
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Journal Article MedStar Authors Catalog Article 24654789 Available 24654789

CONCLUSIONS: After performing 3 cases, interventionalists were able to complete robotic-enhanced PCI faster, with reduced radiation, and without compromising safety. The steep learning curve highlights the easy adoption of remote-control robotic technology for PCI.

METHODS: The CorPath 200 robotic system was used to perform clinically indicated PCI. The first 3 cases performed by each interventional cardiologist were considered early-experience cases and subsequent procedures were regarded as advanced-experience cases. We compared procedure efficiency, patient radiation exposure, and clinical outcomes in early and advanced-experience cases.

OBJECTIVES: The PRECISE multi-center study demonstrated the safety and feasibility of robotic-enhanced coronary intervention (PCI). We studied the learning curve associated with the robotic PCI approach.

RESULTS: A total of 164 robotic-enhanced PCI procedures were performed, with 60 early-experience cases. Advanced-experience cases were associated with shorter procedure duration (51.3 + 25.5 min vs. 42.2 + 16.4 min, P = 0.008) and fluoroscopy time (12.9 + 7.8 min vs. 10.1 + 4.8 min, 0.009) as compared to early-experience cases.

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