TY  - BOOK
AU  - Pichard, Augusto D
AU  - Waksman, Ron
TI  - The association between experience and proficiency with robotic-enhanced coronary intervention-insights from the PRECISE multi-center study
SN  - 1748-2941
PY  - 2014///
KW  - *Clinical Competence
KW  - *Coronary Occlusion/su [Surgery]
KW  - *Learning Curve
KW  - *Percutaneous Coronary Intervention/mt [Methods]
KW  - *Robotics
KW  - Aged
KW  - Cardiology
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Operative Time
KW  - Stents
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
KW  - Multicenter Study
KW  - Research Support, Non-U.S. Gov't
N2  - 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
UR  - http://dx.doi.org/10.3109/17482941.2014.889314
ER  -