Robotic Interventional Neuroradiology: Progress, Challenges, and Future Prospects

Shen Ning; Christophe Chautems; Yoonho Kim; Hal Rice; Uta Hanning; Sami Al Kasab; Lukas Meyer; Marios Psychogios; Osama O. Zaidat; Ameer E. Hassan; Hesham E. Masoud; Adnan Mujanovic; Johannes Kaesmacher; Permesh S. Dhillon; Alice Ma; Artem Kaliaev; Thanh N. Nguyen; Mohamad Abdalkader

doi:10.1055/s-0043-1771298

Seminars in Neurology, Table of Contents

Semin Neurol 2023; 43(03): 432-438
DOI: 10.1055/s-0043-1771298

Review Article

Robotic Interventional Neuroradiology: Progress, Challenges, and Future Prospects

Shen Ning

¹Department of Radiology, Boston Medical Center, Boston, Massachusetts

²Department of Radiology, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts

,

Christophe Chautems

³Nanoflex Robotics, AG, Zurich, Switzerland

,

Yoonho Kim

⁴Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts

,

Hal Rice

⁵Neurointerventional Section, Gold Coast University Hospital, Queensland, Australia

,

Uta Hanning

⁶Klinik und Poliklinik für Interventionelle Neuroradiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

,

Sami Al Kasab

⁷Department of Neurology, Medical University of South Carolina, Charleston, South Carolina

,

Lukas Meyer

⁶Klinik und Poliklinik für Interventionelle Neuroradiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

,

Marios Psychogios

⁸Department of Radiology, Basel University Hospital, University of Basel, Switzerland

,

Osama O. Zaidat

⁹Department of Neurology, Mercy Vincent Hospital, Toledo, Ohio

,

Ameer E. Hassan

¹⁰Department of Neurology, Valley Baptist Medical Center, University of Texas Rio Grande Valley, Harlingen, Texas

,

Hesham E. Masoud

¹¹Division of Cerebrovascular, Department of Neurology, Upstate University Hospital, Syracuse, New York

,

Adnan Mujanovic

¹²Institute of Diagnostic and Interventional Neuroradiology, Institute of Diagnostic, Interventional and Pediatric Radiology and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland

,

Johannes Kaesmacher

¹²Institute of Diagnostic and Interventional Neuroradiology, Institute of Diagnostic, Interventional and Pediatric Radiology and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland

,

Permesh S. Dhillon

¹³Interventional Neuroradiology, University of Nottingham, Nottingham, United Kingdom

,

Alice Ma

¹⁴Department of Neurosurgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia

,

Artem Kaliaev

¹Department of Radiology, Boston Medical Center, Boston, Massachusetts

,

Thanh N. Nguyen

¹Department of Radiology, Boston Medical Center, Boston, Massachusetts

¹⁵Department of Neurology, Boston Medical Center, Boston, Massachusetts

,

Mohamad Abdalkader

¹Department of Radiology, Boston Medical Center, Boston, Massachusetts

› Author Affiliations

Abstract

Advances in robotic technology have improved standard techniques in numerous surgical and endovascular specialties, offering more precision, control, and better patient outcomes. Robotic-assisted interventional neuroradiology is an emerging field at the intersection of interventional neuroradiology and biomedical robotics. Endovascular robotics can automate maneuvers to reduce procedure times and increase its safety, reduce occupational hazards associated with ionizing radiations, and expand networks of care to reduce gaps in geographic access to neurointerventions. To date, many robotic neurointerventional procedures have been successfully performed, including cerebral angiography, intracranial aneurysm embolization, carotid stenting, and epistaxis embolization. This review aims to provide a survey of the state of the art in robotic-assisted interventional neuroradiology, consider their technical and adoption limitations, and explore future developments critical for the widespread adoption of robotic-assisted neurointerventions.

Keywords

interventional neuroradiology - robotics - robotic-assisted neurointerventions - robotic endovascular interventions

Full Text

References

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