Article Text

PDF
Review
Current applications and future perspectives of robotics in cerebrovascular and endovascular neurosurgery
  1. Simon A Menaker1,
  2. Sumedh S Shah1,
  3. Brian M Snelling1,
  4. Samir Sur1,
  5. Robert M Starke1,2,
  6. Eric C Peterson1
  1. 1Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
  2. 2Department of Radiology, University of Miami Miller School of Medicine, Miami, Florida, USA
  1. Correspondence to Dr Eric C Peterson, Department of Neurological Surgery University of Miami Miller School of Medicine 1095 NW 14th Terrace Miami, FL 33136, USA; ericpete{at}med.miami.edu

Abstract

Advances in robotic medicine have been adopted by various surgical subspecialties as the benefits of this technology become more readily apparent: precision in narrow operative windows, tremor controlled movements, and modestly improved outcomes, among others. Vascular neurosurgery, in particular, remains open to newer and more cutting edge treatment options for complex pathologies, and robotics may be on the horizon for such advances. We seek to provide a broad overview of these innovations in vascular neurosurgery for both practitioners well acquainted with robotics and those seeking to become more familiar. Technologies under development for cerebrovascular and endovascular neurosurgery include robot assisted angiography, guided operative microscopes, coil insertion systems, and endoscopic clipping devices. Additionally, robotic systems in the fields of interventional cardiology and radiology have potential applications to endovascular neurosurgery but require proper modifications to navigate complex intracerebral vasculature. Robotic technology is not without drawbacks, as broad implementation may lead to increased cost, training time, and potential delays in emergency situations. Further cultivation of current multidisciplinary technologies and investment into newer systems is necessary before robotics can make a sizable impact in clinical practice.

  • endovascular
  • robot-assisted surgery
  • robotics technology

Statistics from Altmetric.com

Footnotes

  • Contributors SAM, SSS, BMS, and SS contributed to the conception, literature review, and drafting of the manuscript. RMS and ECP provided manuscript oversight and administrative support. All authors critically reviewed the manuscript and approved its final submission.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not for profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.