Evaluation of effectiveness and safety of the CorPath GRX robotic system in endovascular embolization procedures of cerebral aneurysms

Vitor Mendes Pereira, Hal Rice, Laetitia De Villiers, Nader Sourour, Frédéric Clarencon, Julian Spears, Alejandro Tomasello, David Hernandez, Nicole M Cancelliere, Xiao Yu Eileen Liu, Patrick Nicholson, Vincent Costalat, Gregory Gascou, Pasquale Mordasini, Jan Gralla, Mario Martínez-Galdámez, Jorge Galvan Fernandez, Monika Killer-Oberpfalzer (Co-author), David S Liebeskind, Raymond D TurnerRaphael Blanc, Michel Piotin

Research output: Contribution to journalOriginal Article (Journal)peer-review

Abstract

BACKGROUND: Robotic-assisted neurointervention was recently introduced, with implications that it could be used to treat neurovascular diseases.

OBJECTIVE: To evaluate the effectiveness and safety of the robotic-assisted platform CorPath GRX for treating cerebral aneurysms.

METHODS: This prospective, international, multicenter study enrolled patients with brain aneurysms that required endovascular coiling and/or stent-assisted coiling. The primary effectiveness endpoint was defined as successful completion of the robotic-assisted endovascular procedure without any unplanned conversion to manual treatment with guidewire or microcatheter navigation, embolization coil(s) or intracranial stent(s) deployment, or an inability to navigate vessel anatomy. The primary safety endpoint included intraprocedural and periprocedural events.

RESULTS: The study enrolled 117 patients (74.4% female) with mean age of 56.6 years from 10 international sites,. Headache was the most common presenting symptom in 40/117 (34.2%) subjects. Internal carotid artery was the most common location (34/122, 27.9%), and the mean aneurysm height and neck width were 5.7±2.6 mm and 3.5±1.4 mm, respectively. The overall procedure time was 117.3±47.3 min with 59.4±32.6 min robotic procedure time. Primary effectiveness was achieved in 110/117 (94%) subjects with seven subjects requiring conversion to manual for procedure completion. Only four primary safety events were recorded with two intraprocedural aneurysm ruptures and two strokes. A Raymond-Roy Classification Scale score of 1 was achieved in 71/110 (64.5%) subjects, and all subjects were discharged with a modified Rankin Scale score of ≤2.

CONCLUSIONS: This first-of-its-kind robotic-assisted neurovascular trial demonstrates the effectiveness and safety of the CorPath GRX System for endovascular embolization of cerebral aneurysm procedures.

TRIAL REGISTRATION NUMBER: NCT04236856.

Original languageEnglish
JournalJOURNAL OF NEUROINTERVENTIONAL SURGERY
DOIs
Publication statusE-pub ahead of print - 4 Oct 2023

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