**6. Future prospects**

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 delivery become possible to accomplish by robotic assistance.

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 care to smaller regions as well.

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 care is theoretical.

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

**103**

**Author details**

Houston, TX, USA

Budapest, Hungary

Marton Berczeli1,2\*, Peter Legeza1,2 and Alan Lumsden1

provided the original work is properly cited.

1 Department of Cardiovascular Surgery, Houston Methodist Hospital,

\*Address all correspondence to: mtberczeli@houstonmethodist.org

2 Department of Vascular and Endovascular Surgery, Semmelweis University,

© 2021 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

*Catheter Robots in the Cardiovascular System DOI: http://dx.doi.org/10.5772/intechopen.97314*

**7. Conclusion**

**Conflict of interest**

None.

the aortic bifurcation with the up-and-over technique.

peripheral vascular, neurovascular and coronary interventions.

or stents. These would support the application of robotic-assisted endovascular intervention in more time-consuming procedures like contralateral gate cannulation during EVAR, target vessel catheterization and stenting in FEVAR or crossing

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

*Catheter Robots in the Cardiovascular System DOI: http://dx.doi.org/10.5772/intechopen.97314*

or stents. These would support the application of robotic-assisted endovascular intervention in more time-consuming procedures like contralateral gate cannulation during EVAR, target vessel catheterization and stenting in FEVAR or crossing the aortic bifurcation with the up-and-over technique.
