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Indian Cardiologist In An Intl Team To Develop World’s 1st Robotic Equipment For Angioplasty
EHM News Bureau - Mumbai
Interventional cardiologist Dr Ganesh Kumar of Hiranandani
Hospital teamed up with Rafael Beyar and other eminent international members,
including Tal Wenderow, Doron Lindner, and Rona Shofti in Israel to develop
and test the world’s first robotic equipment for angioplasty that allows
remote manipulation of Percutaneous Coronary Interventions (PCI).
The pilot study has been just concluded on 15 patients with stable angina pectoris
and a typical risk of coronary heart disease with 100 per cent clinical success
and technical results in over 92 per cent of cases. The study concluded that
remote navigation system for coronary interventions including balloon angioplasty
and stenting is feasible. The current Remote Navigation System (RNS) is the
first clinically-oriented system for remote manipulation of PCI and allows full
navigation of coronary wires and devices in parallel, allowing operation in
a standardised catheterisation laboratory.
This robotic remote control PCI system not only helps patients avail services
of their preferred doctors over large distances, but also helps physicians operate
in an X-Ray-free and relaxed environment with lesser chances of spinal risk,
thereby increasing the ability of the operator to deal with long procedural
hours. In contrast to the present angioplasty process that requires two cardiologists,
the robotic remote control procedure can be conducted without need of assistants-
making the process more efficient and reproducible and reducing chances of operator-based
error.
In this system, motors and motion sensors are used to manipulate
angioplasty wires, stents and balloons via a joystick
and a computer touch screen leading to enhanced precision
of balloon and stent positioning (which may be an extremely
important feature in DES therapy). Semiautomatic procedures
can also be robotically controlled by the system by
obtaining continuous image base feedback data. On-line
communication with the patient is obviously of value
in generating trust and confidence of the lightly sedated
patient and the medical team. “With the positive
results of these latest studies, I am hopeful that the
day is not far away when robotic remote control angioplasty
will be the preferred procedure in coronary care,”
said Dr Ganesh Kumar.
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