Robotic-Assisted Percutaneous Coronary Intervention

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2026 | Volume 2 | Issue 1 | Page 49 - 56

Dr. Armenian, Assistant Professor, Department of Cardiology, BSMCH, Bangladesh

Abstract

The integration of robotics into the cardiac catheterization laboratory marks a transformative shift from man

ual, tactile-based procedures to computer-assisted, precision-guided interventions. Traditionally, Percutaneous Coronary Intervention (PCI) has relied on the manual manipulation of catheters, guidewires, and stents, which—while effective—is subject to human error, physiological tremor, and significant radiation exposure for the operator. This chapter evaluates the current state and future trajectory of Robotic-Assisted PCI (R-PCI), utilizing the latest 2024–2026 data from second and third-generation robotic platforms. We analyze the core technical advantages of R-PCI, specifically its ability to provide 0.5 mm longitudinal precision in stent positioning, which significantly reduces the incidence of "geographic miss" and optimizes stent-to-vessel matching. Furthermore, the discussion highlights the ergonomic benefits, documenting a 95% reduction in operator radiation exposure by allowing the interventionalist to perform the procedure from a lead-shielded radiation cockpit. The chapter also explores the feasibility of Telestenting (remote PCI), where robotic systems enable specialists to treat patients in underserved or rural areas from a centralized hub. Finally, we address the current challenges to widespread adoption, including system costs and the "learning curve" for seasoned practitioners. By synthesizing clinical outcomes from recent multi-center registries, this chapter establishes that robotic assistance is not merely an incremental upgrade but a fundamental evolution toward a safer, more standardized, and precise era of interventional cardiology.