Expert Review

DOI: 10.4244/EIJ-D-24-01003

Current and future applications of robotics in structural heart interventions

Xiang Chen1, MD; Giulio Russo2, MD, PhD; Mi Chen3, MD; Zhu Da3, MD; Xiangbin Pan3,4, MD; Yan Wang1, MD; Edwin Ho5, MD; Emiliano Votta6, MSc, PhD; Paolo Denti7, MD; Didier Tchetche8, MD; Azeem Latib5, MD; Maurizio Taramasso9, MD, PhD

Abstract

Robotics entered the cardiovascular field in the late 1990s with a robot-assisted coronary artery bypass graft. Since then, the use of robots has become a common part of cardiovascular surgery in several types of interventions. The experience in transcatheter interventions has been slower, and the application of robotics to percutaneous coronary interventions has shown some encouraging results but also some technical limitations. Following the growth of structural heart interventions, attention has recently switched to the potential application of robotics in this field. So far, several cases have been performed in animal models and only a few cases in humans. The opportunity to perform a procedure (almost) without any X-ray exposure or lead garments is extremely attractive, especially for operators. Alongside these, there are several further potential advantages, but there are also many challenges to overcome. The integration of artificial intelligence and machine learning in the near future might further contribute to improve the performance of future generations of robots. In this review, the current and future applications of robotics in structural heart interventions and transoesophageal echocardiography will be discussed, together with the potential advantages, challenges and future perspectives.

Sign in to read
the full article

Forgot your password?
No account yet?
Sign up for free!

Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Volume 21 Number 13
Jul 7, 2025
Volume 21 Number 13
View full issue


Key metrics

Suggested by Cory

10.4244/EIJV12I13A256 Jan 20, 2017
Robot-assisted telestenting: brightening the light of science
Cummins P and Bruining N
free

Editorial

10.4244/EIJ-E-23-00064 Jan 1, 2024
Robotic-assisted percutaneous coronary intervention: the future or the past?
Durand E and Eltchaninoff H
free

Editorial

10.4244/EIJ-E-23-00011 Apr 3, 2023
Robotics in interventional cardiology: a new era of safe and efficient procedures
Bruining N
free

Clinical research

10.4244/EIJ-D-22-00642 Apr 3, 2023
Evaluation of the R-One robotic system for percutaneous coronary intervention: the R-EVOLUTION study
Durand E et al
free

State-of-the-Art Review

10.4244/EIJ-D-21-00145 Sep 20, 2021
Robotics, imaging, and artificial intelligence in the catheterisation laboratory
Beyar R et al
free
Trending articles
172.05

Focus article

10.4244/EIJY19M08_01 Jan 17, 2020
EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion – an update
Glikson M et al
free
42

Original Research

10.4244/EIJ-D-25-00331 May 21, 2025
One-month dual antiplatelet therapy followed by prasugrel monotherapy at a reduced dose: the 4D-ACS randomised trial
Jang Y et al
open access
26.5

Expert Review

10.4244/EIJ-D-24-00535 May 5, 2025
Catheter-based techniques for pulmonary embolism treatment
Costa F et al
X

The Official Journal of EuroPCR and the European Association of Percutaneous Cardiovascular Interventions (EAPCI)

EuroPCR EAPCI
PCR ESC
Impact factor: 9.5
2024 Journal Citation Reports®
Science Edition (Clarivate Analytics, 2025)
Online ISSN 1969-6213 - Print ISSN 1774-024X
© 2005-2025 Europa Group - All rights reserved