Evidence map›Paper›PMID 39801814›Full record

ArticleJACC. Advances2025

Transatlantic Telerobotic Coronary Angiography: A Pre-clinical Feasibility Study.

Ryan D Madder, Stacie VanOosterhout, Jessica L Parker, Alessandro Candreva

Abstract read
In one paragraph

Article in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Robot-Assisted Cardiovascular Interventions.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Review
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

4 authors.

Ryan D MadderFrederik Meijer Heart & Vascular Institute, Corewell Health West, Grand Rapids, Michigan, USA.
Stacie VanOosterhoutFrederik Meijer Heart & Vascular Institute, Corewell Health West, Grand Rapids, Michigan, USA.
Jessica L ParkerFrederik Meijer Heart & Vascular Institute, Corewell Health West, Grand Rapids, Michigan, USA.
Alessandro CandrevaDepartment of Cardiology, University Heart Centre, University Hospital Zürich, Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients in many underserved geographies lack access to invasive coronary angiography (ICA). Objectives: This preclinical study explored the feasibility of telerobotic ICA between separate continents. Methods: Using a novel robotic system, attempts were made to navigate a magnetic guidewire and diagnostic catheter from the aortic arch into a target coronary artery ostium in a fluid-filled cardiac model. The model and robotic system were located in Zürich, Switzerland. The operating physician was either "onsite" in the laboratory in Zürich or "transatlantic," in which the physician remotely controlled the robot from Grand Rapids, Michigan, USA. An onsite control group of 40 manual catheterization cases was made for comparison. The primary endpoint was technical success (catheter engagement into target ostium without conversion to manual). A secondary endpoint was engagement time (time from initial robotic manipulation to engagement in target ostium). Results: In 260 consecutive attempts, of which 40 (15.4%) were "onsite" and 220 (84.6%) were "transatlantic," technical success was 97.5% onsite and 100% in the transatlantic group ( Conclusions: In this preclinical study, the proof-of-concept for telerobotic ICA was successfully demonstrated. Furthermore, the current limits of telerobotic capabilities were tested by conducting ICA between separate continents and showing that transatlantic telerobotic navigation of endovascular devices is now technically possible.

Indexed as

cardiac catheterizationrobotictelemedicinetelesurgery

Identifiers

PMID39801814
PMCPMC11719301

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Registered trials

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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.