Evidence map›Paper›PMID 34799439›Full record

SynthesisJournal of neurointerventional surgery2022

Robotics in neurointerventional surgery: a systematic review of the literature.

William Crinnion, Ben Jackson, Avnish Sood, Jeremy Lynch, Christos Bergeles, Hongbin Liu, Kawal Rhode, Vitor Mendes Pereira, Thomas C Booth

Abstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Journal of neurointerventional surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Toward real-time autonomous navigation: transformer-based catheter tip tracking in fluoroscopy.International journal of computer assisted radiology and surgery · 2026
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  19. The pioneering past and cutting-edge future of interventional neuroradiology.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

William CrinnionSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0001-6077-6511
Ben JacksonSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Avnish SoodSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Jeremy LynchDepartment of Neuroradiology, King's College Hospital NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-1476-0612
Christos BergelesSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Hongbin LiuSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Kawal RhodeSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Vitor Mendes PereiraDivision of Neuroradiology, Department of Medical Imaging and Division of Neurosurgery, Department of Surgery, University Health Network - Toronto Western Hospital, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-6804-3985
Thomas C BoothSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK tombooth@doctors.org.uk.ORCID http://orcid.org/0000-0003-0984-3998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotically performed neurointerventional surgery has the potential to reduce occupational hazards to staff, perform intervention with greater precision, and could be a viable solution for teleoperated neurointerventional procedures.

objectiveTo determine the indication, robotic systems used, efficacy, safety, and the degree of manual assistance required for robotically performed neurointervention.

methodsWe conducted a systematic review of the literature up to, and including, articles published on April 12, 2021. Medline, PubMed, Embase, and Cochrane register databases were searched using medical subject heading terms to identify reports of robotically performed neurointervention, including diagnostic cerebral angiography and carotid artery intervention.

resultsA total of 8 articles treating 81 patients were included. Only one case report used a robotic system for intracranial intervention, the remaining indications being cerebral angiography and carotid artery intervention. Only one study performed a comparison of robotic and manual procedures. Across all studies, the technical success rate was 96% and the clinical success rate was 100%. All cases required a degree of manual assistance. No studies had clearly defined patient selection criteria, reference standards, or index tests, preventing meaningful statistical analysis.

conclusionsGiven the clinical success, it is plausible that robotically performed neurointerventional procedures will eventually benefit patients and reduce occupational hazards for staff; however, there is no high-level efficacy and safety evidence to support this assertion. Limitations of current robotic systems and the challenges that must be overcome to realize the potential for remote teleoperated neurointervention require further investigation.

Indexed as

RoboticsCerebral AngiographyHumansVascular Surgical Proceduresdevicetechnology

Identifiers

PMID34799439
PMCPMC9120401

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.