title: The association between experience and proficiency with robotic-enhanced coronary intervention-insights from the PRECISE multi-center study.
abstract: OBJECTIVE
  The PRECISE multi-center study demonstrated the safety and feasibility of robotic-enhanced coronary intervention (PCI). We studied the learning curve associated with the robotic PCI approach.
  
  
  METHODS
  The CorPath 200 robotic system was used to perform clinically indicated PCI. The first 3 cases performed by each interventional cardiologist were considered early-experience cases and subsequent procedures were regarded as advanced-experience cases. We compared procedure efficiency, patient radiation exposure, and clinical outcomes in early and advanced-experience cases.
  
  
  RESULTS
  A total of 164 robotic-enhanced PCI procedures were performed, with 60 early-experience cases. Advanced-experience cases were associated with shorter procedure duration (51.3 ± 25.5 min vs. 42.2 ± 16.4 min, P = 0.008) and fluoroscopy time (12.9 ± 7.8 min vs. 10.1 ± 4.8 min, 0.009) as compared to early-experience cases.
  
  
  CONCLUSIONS
  After performing 3 cases, interventionalists were able to complete robotic-enhanced PCI faster, with reduced radiation, and without compromising safety. The steep learning curve highlights the easy adoption of remote-control robotic technology for PCI.
authors.affiliation: Center for Interventional Vascular Therapy, New York Presbyterian Hospital, Columbia University Medical Center , New York, NY , USA.
authors.forename: Giora
authors.initials: G
authors.lastname: Weisz
authors.forename: Nathaniel R
authors.initials: NR
authors.lastname: Smilowitz
authors.forename: D Christopher
authors.initials: DC
authors.lastname: Metzger
authors.forename: Ronald
authors.initials: R
authors.lastname: Caputo
authors.forename: Juan
authors.initials: J
authors.lastname: Delgado
authors.forename: J Jeffrey
authors.initials: JJ
authors.lastname: Marshall
authors.forename: George
authors.initials: G
authors.lastname: Vetrovec
authors.forename: Mark
authors.initials: M
authors.lastname: Reisman
authors.forename: Ron
authors.initials: R
authors.lastname: Waksman
authors.forename: Augusto
authors.initials: A
authors.lastname: Pichard
authors.forename: Juan F
authors.initials: JF
authors.lastname: Granada
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Moses
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Carrozza
mesh_terms: D000368:Aged; D002309:Cardiology; D002983:Clinical Competence; D054059:Coronary Occlusion / Q000601:surgery*; D005260:Female; D006801:Humans; D059032:Learning Curve; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D012371:Robotics; D015607:Stents