**7. Conclusion**

*Latest Developments in Medical Robotics Systems*

may provide a possible solution to this problem [31].

delivery become possible to accomplish by robotic assistance.

a crucial factor of procedural success [5].

**6. Future prospects**

care to smaller regions as well.

of robotic-assisted procedures.

provide better support for more challenging procedures and could broaden the area

It is important to emphasize that the published trials and studies reported excellent outcomes and good intravascular navigation, the absence of haptic feedbacks may have an effect on procedural outcomes [23]. This could be an important factor, when maneuvering in smaller vessels like coronary, cerebral and visceral vessels. For this reason, the precise control over the endovascular devices is mandatory and

Robot-assisted endovascular therapy has its benefits and limitations, but it is relatively a new option in the armamentarium of endovascular specialists. The persistent improvements and expanding indication fields provide a faster evolution and modifications of the toolset used for endovascular procedures. Many of these new techniques might not be implemented into robotic-assisted interventions, but basic procedures like vessel cannulation, angioplasty, stenting, angiography or coil

The advancement of robotic techniques could provide better intravascular navigation and result in significant radiation time decrease for procedures requiring advanced endovascular techniques. One of the advantages of robotic-assisted device control is the stable and reliable manipulation compared to manual manipulation. The first studies regarding tele-stenting were a milestone for robotic assisted endovascular therapies. This feature can overcome the burden of patient transportation in diseases where time window dictates patient outcome like stroke management. The interest in remote stroke interventions is especially high as it shows an increasing trend in overall US population and recent thrombectomy interventions provided significant improvement in stroke outcomes. These procedures require experienced staff and immediate action, the treatment option is currently not available for great portion of the residents because of geographical difficulties. The use of tele-robotic systems in stroke management has the capability to offer a potential solution for disseminating acute thrombectomy

A key factor for remote endovascular procedure is the high-speed connection in between the local and remote site this provides better communication in the medical team and also an improved endovascular robotic-assisted navigation. Performing remote robotic-assisted operation in hospitals, does not equal improvement in postoperative patient care, to be able to maintain a well-functioning center sufficient cardiovascular and neurology intensive care units are mandatory. Therefore, the widespread of remote endovascular interventions in acute patient

The future generation of endovascular robotics will include broader device compatibility like 0.035-inch wires, wider-range options for guide catheters, balloons

Results of robotic-assisted peripheral vascular interventions have been presented in several regions, but the utility of this approach remains unclear in complex and different scenarios such as chronic total occlusions, severely calcified lesions or obliterative diseases affecting bifurcations. Currently there is no data available in the use of mesenteric or celiac interventions and also the system was not yet used for EVAR. Although there is a demand to perform parts of complex aneurysm procedures to reduce radiation exposure and to reduce manipulation and the number of wire-vessel wall contacts. Active control of the guiding catheters

**102**

care is theoretical.

CorPath system allows to perform remote endovascular procedures, promotes precise device navigation and reduces occupational hazards for the operator. Based on currently available experience the system has high procedural success rate in peripheral vascular, neurovascular and coronary interventions.
