{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T02:19:36Z","timestamp":1782958776900,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82100261"],"award-info":[{"award-number":["82100261"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>International robotic\u2010assisted PCI platforms such as CorPath 200 and CorPath GRX have demonstrated procedural safety and efficacy but are limited by the absence of real\u2010time tactile feedback and cumbersome device exchange. The ETcath200, the first domestically developed robotic PCI system in China, introduces guidewire force\u2010sensing to provide real\u2010time visual resistance feedback that partially compensates for the lack of direct tactile sensation, along with streamlined device exchange and an intuitive joystick\u2013roller interface.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to evaluate the feasibility, safety, and procedural performance of the ETcath200 system in patients with complex coronary lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective, single\u2010center, single\u2010arm trial, 20 patients with AHA\/ACC type B2 or C complex coronary lesions underwent PCI using the ETcath200 system. Technical success was defined as full robotic completion without any unplanned manual input (including partial manual assistance or manual conversion); clinical success as residual stenosis &lt;\u200930% with TIMI 3 flow and no in\u2010hospital major adverse cardiac events (MACE). Patients were followed for 30 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 20 patients (mean age 63.2\u2009\u00b1\u200912.0 years; 80% male) had unstable angina and complex coronary anatomy (79.2% type C lesions; 50% bifurcation, 65% diffuse). Most procedures were performed via radial access (80%), and the majority utilized drug\u2010eluting stents (65%). Technical success was achieved in 16 cases (80%), while four cases (20%) required manual conversion due to severe tortuosity or calcification (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093) or guidewire\u2010induced dissection (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091; managed successfully). All patients achieved clinical success; no device failures, MACE, or serious adverse events occurred at 30 days. Mean procedure duration was 61.0\u2009\u00b1\u200923.3\u2009min; radiation dose was 0.07\u2009\u00b1\u20090.04\u2009mSv.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The ETcath200 robotic PCI system demonstrated feasibility, safety, and reliable performance in complex coronary lesions, achieving high clinical success and excellent short\u2010term outcomes. Manual conversion was required only in anatomically challenging cases. These data support further multicenter evaluation of ETcath200 in complex coronary interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70488","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T09:12:36Z","timestamp":1769591556000},"page":"1393-1402","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Safety of the ETcath200 Robotic PCI System for Complex Coronary Lesions: A Prospective Single\u2010Center Study"],"prefix":"10.1002","volume":"107","author":[{"given":"Jing","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Cardiology Beijing Luhe Hospital, Affiliated to Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuqi","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Luhe Hospital, Affiliated to Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yizhu","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Luhe Hospital, Affiliated to Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zijing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Luhe Hospital, Affiliated to Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Xie","sequence":"additional","affiliation":[{"name":"Beijing WeMed Medical Technology Co. Ltd. Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ge","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing WeMed Medical Technology Co. Ltd. Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhicheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Luhe Hospital, Affiliated to Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tienan","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2222-7738","authenticated-orcid":false,"given":"Guangyao","family":"Zhai","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Luhe Hospital, Affiliated to Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2019-315707"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.25270\/jic\/22.00375"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2024.12.005"},{"key":"e_1_2_8_5_1","article-title":"Latest Developments in Robotic Percutaneous Coronary Interventions","volume":"18","author":"Khokhar A. A.","year":"2023","journal-title":"Interventional Cardiology (London, England)"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2025.102568"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.5041\/RMMJ.10291"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13185537"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.12.045"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.008888"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/cdt-21-442"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2023.1294930"},{"issue":"10","key":"e_1_2_8_13_1","first-page":"743","article-title":"First\u2010in\u2010Human Evaluation of an Independently Developed Chinese Robot\u2010Assisted System for Percutaneous Coronary Intervention","volume":"19","author":"Zhai G. Y.","year":"2022","journal-title":"Journal of Geriatric Cardiology: JGC"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.03.050"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy394"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad191"},{"key":"e_1_2_8_17_1","first-page":"325","article-title":"Latest Developments in Robotic Percutaneous Coronary Intervention","volume":"38","author":"Hofmann F.","year":"2021","journal-title":"Surgical Technology Online"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/15910199241305691"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.26599\/1671-5411.2024.08.004"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2021.03.025"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2022.02.002"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-22-00642"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70488","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70488","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70488","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T03:46:21Z","timestamp":1775101581000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70488"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,28]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ccd.70488"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70488","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,28]]},"assertion":[{"value":"2025-09-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}