“The biggest benefit of using a robot for us is the reduction of radiation exposure of both doctors and nurses. Because heavy lead vests are not needed and the doctor can work from his or her seat, well-being at work and endurance also improve."
Specialist in internal medicine and cardiology, Oulu University Hospital.
Specialist in internal medicine and cardiology, Oulu University Hospital.
Less radiation
Also at Södersjukhuset in Stockholm they see less radiation as the biggest advantage.
”I do not have to wear a heavy lead apron and lead glasses. The working position becomes more comfortable, which in the long run can contribute to less wear and tear on the body, says Ulf Jensen in a interview to the Swedish health magazine ”Dagens Medicin”. Read the whole article in Dagens Medicin here.
Niemelä in Finland considers it an advantage that through the help of robotics, the cardiologists are able to position the catheter with millimeter prescision. The robot technology has a built-in function to measure the length of the constrictions.
During coronary angiography of patients with suspected coronary stenosis a catheter is inserted into the vascular system to the heart with an image guided angiography system. A Contrast fluid is injected into the bloodstream and any constrictions in the heart become visible on a monitor. In balloon dilation and stenting, commonly referred to as a PCI, of narrowed coronary arteries, the operator normally stands next to the patient and controls the instruments by hand.
Using robot technology also has more advantages than less radiation. The robot’s algorithms make the work more standardized and can reduce variations. The robot is taught with the best techniques from cardiologists.
“The robot has been taught the techniques of the world’s best cardiologists. It could be said that a cardiologist who performs robot assisted PCI proce-dures has the help of the best hands in the world.”
CEO of EPS Vascular in Finland
CEO of EPS Vascular in Finland
More procedures under development
The use of the Corindus robot in Finland began with PCI procedures, but the device is also being developed for use in cerebrovascular procedures. Globally there has been performed robot-assisted stenting of the carotid artery and treatments for cerebral artery aneurysm, or cerebral artery bulge. In the future, robot-assisted thrombectomy, mechanical removal of cerebral artery occlusion, may also be possible.
In Finland, cardiac patients are treated in 23 hospitals, but only five university hospitals treat patients with cerebrovascular disorders. More use of remote robot-assisting, would make the expertise of the university hospitals available to other hospitals.
“It is an interesting idea that hospitals, in cooperation with the university hospitals, could treat patients robotically remotely. Time is a critical factor in the treatment of cerebrovascular disorders. The sooner a patient is treated, the better the prognosis is for recovery. If it is possible to prevent paralysis and if the patient recovers completely on his own, it is a big saving for society as well,”
Deputy Chief Physician of Neuro interventional Radiology
Oulu University Hospital
Deputy Chief Physician of Neuro interventional Radiology
Oulu University Hospital
More flexibility with remote solutions
Isokangas, Deputy Chief Physician of Neuro interventional Radiology at Oulu University Hospital, believes that this kind of telemedicine could develop the speed of access to treatment for patients with cerebrovascular disorders. It also comes with another benefit he mentions.
“In addition to availability to new technology, hospitals also need specially trained staff and 24/7 care readiness. This is an even bigger issue than technology itself. A remote solution will obviously give more flexibility,” he says.
Pasi Loukiainen, CEO of EPS Vascular Finland, also believes that telecare is the future, and the Corindus device offers good opportunities for that.