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1.
AJNR Am J Neuroradiol ; 42(5): 808-814, 2021 05.
Article in English | MEDLINE | ID: covidwho-1376688

ABSTRACT

Robotic interventional neuroradiology is an emerging field with the potential to enhance patient safety, reduce occupational hazards, and expand systems of care. Endovascular robots allow the operator to precisely control guidewires and catheters from a lead-shielded cockpit located several feet (or potentially hundreds of miles) from the patient. This has opened up the possibility of expanding telestroke networks to patients without access to life-saving procedures such as stroke thrombectomy and cerebral aneurysm occlusion by highly-experienced physicians. The prototype machines, first developed in the early 2000s, have evolved into machines capable of a broad range of techniques, while incorporating newly automated maneuvers and safety algorithms. In recent years, preliminary clinical research has been published demonstrating the safety and feasibility of the technology in cerebral angiography and intracranial intervention. The next step is to conduct larger, multisite, prospective studies to assess generalizability and, ultimately, improve patient outcomes in neurovascular disease.


Subject(s)
Nervous System Diseases/diagnostic imaging , Radiography, Interventional/methods , Robotics/methods , Humans , Nervous System Diseases/surgery , Stroke/diagnostic imaging , Stroke/surgery , Telemedicine , Thrombectomy
3.
J Vasc Access ; 22(4): 654-657, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-723976

ABSTRACT

This report aims to illustrate how to perform a venous access to a COVID-19 patient at the bedside. The decision on the type of venous access, the selection of the material necessary to perform the procedure, and the preparation of the operators are described. The described approach can reduce costs, speed up execution times, and make the operator's work safer. Furthermore, these precautions may help control the spread of COVID-19 within the healthcare facility.


Subject(s)
COVID-19/diagnosis , Catheterization, Central Venous/methods , Central Venous Catheters , Pandemics , Point-of-Care Testing , COVID-19/epidemiology , Humans , Radiography, Interventional/methods , SARS-CoV-2
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