Robotic carotid artery stenting: a multicenter, propensity score–matched analysis of clinical outcomes and cost-effectiveness
In the first multicenter study and largest sample to date, the authors show that robotic CAS, with a low rate of procedural failure and postoperative complications, is safe and feasible. In addition, robotic CAS achieves comparable clinical outcomes to manual CAS. Robotic CAS was associated with increased fluoroscopy time, but fluoroscopy time decreased as operators gained familiarity with the CorPath GRX system. Robotic CAS was associated with a greater procedural cost, which was driven by greater personnel and supply costs. Robotic CAS failed to show superiority to manual CAS. These findings set a foundation for randomized controlled trials of robotic CAS, and also highlight the need for further studies to optimize robotic CAS and reduce its associated costs.
Authors
- Antony A. Fuleihan (ORCID: https://orcid.org/0009-0002-8291-6946)
- Visish Mani Srinivasan (ORCID: https://orcid.org/0000-0001-7673-6805)
- Rawad Abbas (ORCID: https://orcid.org/0000-0001-9820-5781)
- Shray Patel (ORCID: https://orcid.org/0000-0002-3600-3620)
- Robert H. Rosenwasser (ORCID: https://orcid.org/0000-0003-1875-9923)
- Pascal M. Jabbour (ORCID: https://orcid.org/0000-0002-8965-2413)
- Kyle Scott
- Joanna M. Roy (ORCID: https://orcid.org/0000-0002-4829-1869)
- Michael Reid Gooch (ORCID: https://orcid.org/0000-0002-7797-1935)
- Jan‐Karl Burkhardt (ORCID: https://orcid.org/0000-0002-3726-4048)
- Basel Musmar (ORCID: https://orcid.org/0009-0000-4910-6090)
- Advith Sarikonda (ORCID: https://orcid.org/0009-0002-7138-4331)
- Ahilan Sivaganesan
- Stavropoula I. Tjoumakaris
Institutions
- Thomas Jefferson University (US)
- Thomas Jefferson University Hospital (US)
- WinnMed (US)
- Mayo Clinic in Florida (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- Neurosurgical FOCUS
- Published
- 2024-12-01
- DOI
- https://doi.org/10.3171/2024.9.focus24479
- Citations
- 4
- Primary Topic
- Cerebrovascular and Carotid Artery Diseases
- Type
- article
- Field-Weighted Citation Impact
- 1.68