First long-distance heart surgery performed with Corindus Vascular CorPath GRX

Posted on September 10, 2019 by Medtech[y] Staff


Robotic-assisted surgery is one of the most exciting areas to follow the advancement of surgical technology, and a surgeon in India has taken it to the next level by performing a series of five percutaneous coronary intervention (PCI) procedures on patients who were 20 miles away from him.

The procedures were completed using the CorPath GRX, a vascular robot developed by Corindus Vascular Robotics. The results were published in a digital off-shoot of The Lancet, called EClinicalMedicine.

The procedures were completed by Dr. Tejas Patel, Chairman and Chief Interventional Cardiologist of the Apex Heart Institute in Ahmedabad, Gujarat, India. The primary endpoint was procedural success with no major adverse cardiac events (MACE) before discharge. Procedural success was defined as achieving b10% diametric stenosis of the occluded target vessel utilizing tele-R-PCI balloon angioplasty and stent deployment without converting to in-lab manual PCI by an on-site standby team.

Results: The primary endpoint was achieved in 100% of patients. No procedural complications or adverse events occurred, and all patients were discharged the following day without MACE. The operator scores were favorable with the operators rating the procedure as equivalent to an in-lab procedure.

Corindus posted a video to their YouTube channel of a presentation at TCT 2018 discussing a remote PCI from 100 miles away.

TCT 2018 - The 1st Remote PCI from 100 Miles Away - Dr. Ryan Madder

The primary endpoint was achieved in 100% of patients and no procedural complications or adverse events occurred.

Why does this matter?

In underdeveloped and remote areas of the world, the availability of hospitals with cardiac catheterization facilities and trained interventionalists is extremely limited, meaning very few patients receive necessary therapy.

The ability to perform long distance tele-R-PCI in patients with CAD in a safe and effective manner opens opportunities for patients who would otherwise not have the opportunity to receive the therapy they need.

As a bonus, check out a video of Complex Multivessel Robotic PCI that Corindus Vascular posted to their YouTube channel.