{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T01:04:33Z","timestamp":1790816673316,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T00:00:00Z","timestamp":1567555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>No previous reports have examined the impact of robotic\u2010assisted (RA) chronic total occlusion (CTO) PCI on procedural duration or safety compared to totally manual CTO PCI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among 95 patients who underwent successful PCI of a single CTO lesion at two centers, 49 (52%) were performed RA and were performed 46 (48%) totally manually. Cockpit time was the time the primary operator entered to robotic cockpit until the procedure was complete. \u201cTheoretical\u201d cockpit time in the control group was time the primary operator would have entered the cockpit after lesion crossing until the procedure was complete. Major adverse events (MAEs) were the composite of death, myocardial infarction, clinical perforation, significant vessel dissection, arrhythmia, acute thrombosis, and stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The lesion characteristics, procedural time, and contrast dose were similar. All procedures except for one (2%) selected for robotic completion after lesion crossing were completed successfully. The frequency of MAE was similar between groups and there were no in\u2010hospital deaths. The cockpit time was 8 min longer in RA CTO PCI than the theoretical cockpit time in totally manual CTO PCI (40.6\u2009\u00b1\u200912.7 vs. 32.1\u2009\u00b1\u200917.8, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>RA CTO PCI was not associated with excess adverse events compared with totally manual CTO PCI and resulted in an average 41\u2009min cockpit time equaling to 48% of procedure time without radiation exposure or requirement for the primary operator to wear a lead apron. Understanding the relationship between cockpit time and reductions in radiation exposure and lead apron\u2010related orthopedic complications for operators requires future study.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28477","type":"journal-article","created":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T10:01:11Z","timestamp":1567591271000},"page":"165-169","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Initial report of safety and procedure duration of robotic\u2010assisted chronic total occlusion coronary intervention"],"prefix":"10.1002","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1632-0714","authenticated-orcid":false,"given":"Taishi","family":"Hirai","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Cardiology Saint Luke's Mid America Heart Institute  Kansas City Missouri"},{"name":"Department of Medicine, Division of Cardiology University of Missouri Kansas City  Kansas City Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Kearney","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology University of Washington Medical Center  Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akash","family":"Kataruka","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology University of Washington Medical Center  Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensey L.","family":"Gosch","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Saint Luke's Mid America Heart Institute  Kansas City Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hunter","family":"Brandt","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Saint Luke's Mid America Heart Institute  Kansas City Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology York Hospital  York Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William L.","family":"Lombardi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology University of Washington Medical Center  Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Aaron","family":"Grantham","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Saint Luke's Mid America Heart Institute  Kansas City Missouri"},{"name":"Department of Medicine, Division of Cardiology University of Missouri Kansas City  Kansas City Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1161-6356","authenticated-orcid":false,"given":"Adam C.","family":"Salisbury","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Saint Luke's Mid America Heart Institute  Kansas City Missouri"},{"name":"Department of Medicine, Division of Cardiology University of Missouri Kansas City  Kansas City Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27205"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27209"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20201"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-012-0300-z"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25271"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2009.02.008"},{"key":"e_1_2_7_8_1","first-page":"313","article-title":"Impact of a disposable sterile radiation shield on operator radiation exposure during percutaneous coronary intervention of chronic total occlusions","volume":"27","author":"Shorrock D","year":"2015","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/17482941.2014.889314"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.03.050"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27380"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.02.006"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCA.0000000000000439"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.12.045"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28477","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.28477","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T21:10:39Z","timestamp":1694121039000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.28477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,4]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1002\/ccd.28477"],"URL":"https:\/\/doi.org\/10.1002\/ccd.28477","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,4]]},"assertion":[{"value":"2019-06-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}