冠状动脉（冠脉）介入治疗已成为冠心病最主要的治疗手段,然而传统的治疗方式面临着诸多不足与挑战。本文旨在探讨介入手术机器人系统辅助下冠脉介入手术临床应用的现状与前景。介入手术机器人系统为冠脉介入手术提供更为精准化与标准的模式,相对于单纯人工操作可以有效降低医患辐射暴露剂量以及为传染性疾病患者的手术提供更为安全的方式。
Coronary intervention has become a main treatment of coronary heart disease, but the traditional treatment is facing many shortcomings and challenges. This paper aims to explore the current situation and prospect of clinical application of interventional coronary heart surgery assisted by interventional robot system. The interventional robot system provides a more precise and standardized mode for interventional coronary surgery than manual operation, thereby effectively reduces the radiation exposure dose of doctors and patients and provides a safer option for infectious disease surgery.
[1] 中国心血管健康与疾病报告编写组.中国心血管健康与疾病报告2019概要[J].心脑血管病防治,2020, 20(5):437-450.
[2] Linet MS, Kim KP, Miller DL, et al.Historical review of occupational exposures and cancer risks in medical radiation workers[J].Radiat Res, 2010,174(6b):793-808.
[3] Goldstein JA, Balter S, Cowley M, et al.Occupational hazards of interventional cardiologists: prevalence of orthopedic health problems in contemporary practice[J].Catheter Cardiovasc Interv, 2004,63(4):407-411.
[4] Roguin A.Brain tumours among interventional cardiologists: a call for alarm?[J].Eur Heart J, 2012,33(15):1850-1851.
[5] Mettler L, Ibrahim M, Jonat W.One year of experience working with the aid of a robotic assistant (the voice-controlled optic holderAESOP) in gynaecological endoscopic surgery[J].Hum Reprod, 1998,13(10):2748-2750.
[6] Pugin F, Bucher P, Morel P.History of robotic surgery: from AESOP® and ZEUS® to da Vinci®[J].J Visc Surg, 2011,148(5 Suppl):3-8.
[7] Carpentier A, Loulmet D, Aupècle B, et al.Computer assisted open heart surgery. First case operated on with success[J].C R Acad Sci III, 1998,321(5):437-442.
[8] Loulmet D, Carpentier A, d'Attellis N, et al. Endoscopic coronaryartery bypass grafting with the aid of robotic assisted instruments[J].J Thorac Cardiovasc Surg, 1999,118(1): 4-10.
[9] Beyar R, Wenderow T, Lindner D, et al.Concept,design and pre-clinical studies for remote control percutaneous coronary interventions[J].EuroIntervention, 2005,1(3):340-345.
[10] Beyar R, Gruberg L, Deleanu D, et al.Remote-control percutaneous coronary interventions: concept, validation, and first-in-humans pilot clinical trial[J].J Am Coll Cardiol, 2006, 47(2):296-300.
[11] Granada JF, Delgado JA, Uribe MP, et al.First-in-human evaluation of a novel robotic-assisted coronary angioplasty system[J].JACC Cardiovasc Interv, 2011,4(4):460-464.
[12] Weisz G, Metzger DC, Caputo RP, et al.Safety and feasibility of robotic percutaneous coronary intervention: PRECISE (Percutaneous Robotically-Enhanced Coronary Intervention) Study[J]. J Am Coll Cardiol, 2013,61(15):1596-1600.
[13] https://www.sohu.com/a/455525830_100246953
[14] https://www.sohu.com/a/291216131_100161803
[15] Tabaza L, Virk HUH, Janzer S, et al.Robotic-assisted percutaneous coronary intervention in a COVID-19 patient[J]. Catheter Cardiovasc Interv, 2021,97(3):E343-E345.
