Machine Meets Brain: A Systematic Review of Effectiveness of Robotically Performed Cerebral Angiography Interventions

Paweł Marek Łajczak; Kamil Jóźwik; Przemysław Nowakowski; Zbigniew Nawrat

doi:10.1016/j.wneu.2024.04.012

Machine Meets Brain: A Systematic Review of Effectiveness of Robotically Performed Cerebral Angiography Interventions

World Neurosurg. 2024 Apr 7:S1878-8750(24)00575-8. doi: 10.1016/j.wneu.2024.04.012. Online ahead of print.

Authors

Paweł Marek Łajczak¹, Kamil Jóźwik², Przemysław Nowakowski², Zbigniew Nawrat³

Affiliations

¹ Prof. Zbigniew Religa Student Scientific Club at Department of Biophysics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana 18, 40-043 Zabrze. Electronic address: pawel.lajczak03@outlook.com.
² Prof. Zbigniew Religa Student Scientific Club at Department of Biophysics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana 18, 40-043 Zabrze.
³ Department of Biophysics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana 18, 40-043 Zabrze, Poland; Foundation of Cardiac Surgery Development, Zabrze 41-808, Poland.

PMID: 38593910
DOI: 10.1016/j.wneu.2024.04.012

Abstract

Background: Stroke is a leading cause of death in the United States, with significant economic and human costs. Early diagnosis and rapid treatment are critical for preventing stroke-related morbidity and mortality. However, accessibility to neurointerventional medical centers remains a challenge for many Americans, highlighting the need for innovative solutions to improve stroke management.

Methods: This systematic review adhered to PRISMA guidelines and included five medical databases to identify relevant studies on robotically assisted cerebral angiography. Studies focusing on in-human robotic intracranial cerebral angiography were included. Bias assessment was conducted using appropriate tools for randomized controlled trials (RCTs) and non-RCTs.

Results: A total of seven studies met the inclusion criteria, with one RCT and six non-RCTs included in the analysis. Robotic systems such as CorPath GRX, Magellan Robot, YDHB-NS01, VIR-2, and RobEnt were evaluated. The studies reported varying success rates, procedure times, and complications associated with robotically assisted procedures. Overall, robotic interventions demonstrated promising results in terms of safety and efficacy, with comparable outcomes to manual methods.

Discussion: Despite the promising findings, several limitations were identified, including technical issues with robotic systems, high costs, and limited long-term data. Future research should focus on standardizing protocols, conducting larger trials with longer follow-up periods, and assessing cost-effectiveness to determine the role of robotically assisted cerebral angiography in clinical practice.

Conclusion: Robotically assisted cerebral angiography shows potential as a valuable tool in neuroendovascular interventions. Addressing technical challenges and conducting further research will be crucial to fully realize the clinical benefits of this innovative technology and improve patient outcomes in stroke management.

Keywords: Cerebral angiography; DCA – Diagnostic Cerebral Angiography; Neuroendovascular Intervention; RA – Robot Assisted; Robot Intervention; Robot-Assisted procedure.

Publication types

Review