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Remote Teleoperation of Endovascular Intervention Robots: A Systematic Review

Summary

A systematic review of teleoperated endovascular intervention robots evaluated technical feasibility, communication infrastructure, and clinical outcomes. Sixteen studies out of 2501 were included. Teleoperated catheters and guidewires can navigate distances up to 7000 km with latency of 30-163 ms. Small-scale human trials show 100% procedural success, but most evidence is from animal or phantom models. The technology may reduce radiation exposure, expand patient access, and optimize resource allocation. Multi-center trials and studies in low/middle-income countries are needed.

SourcearXiv RoboticsAuthor: Xingyu Chen, Yinchao Yang, Nikola Fischer, Harry Robertshaw, Benjamin Jackson, Mohammad Shikh-Bahaei, Christos Bergeles, Thomas C Booth
Remote Teleoperation of Endovascular Intervention Robots: A Systematic Review
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[2605.22889] Remote Teleoperation of Endovascular Intervention Robots: A Systematic Review

[Submitted on 21 May 2026]

Title:Remote Teleoperation of Endovascular Intervention Robots: A Systematic Review

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Abstract:Remote robotic-assisted endovascular intervention offers a promising approach to reduce clinician radiation exposure and physical strain, while extending specialized vascular care to geographically distant regions. Despite advancements, teleoperated endovascular intervention remains underexplored, especially for time-sensitive interventions like mechanical thrombectomy for acute stroke. The aim of the current review was to determine the evidence regarding teleoperated endovascular robotic systems, covering technical feasibility, communication infrastructure, and clinical outcomes. The review further identified research gaps and future directions. Following PRISMA guidelines, 16 studies were included that met the inclusion criteria out of 2501 initial search results. We found that teleoperated catheters and guidewires, driven by mechanical or electromagnetic systems, can be navigated across distances up to 7000 km. With robust communication infrastructure, network latency remained within clinically acceptable limits (30-163 ms). Although initial outcomes highlighted 100% procedural success in small-scale human trials, most evidence stemmed from animal or phantom models. Overall, the findings suggest that teleoperated endovascular intervention can reduce occupational hazards, expand patient access to urgent procedures, and optimize resource allocation. Future research should be conducted in low and middle income countries to demonstrate broader geographical access. Ultimately, multi-center clinical trials are required to validate the safety, efficacy, and generalization in diverse clinical settings.

Comments: The manuscript has been submitted to IEEE Transaction on Medical Robotic and Bionics

Subjects:

Robotics (cs.RO)

Cite as: arXiv:2605.22889 [cs.RO]

(or arXiv:2605.22889v1 [cs.RO] for this version)

https://doi.org/10.48550/arXiv.2605.22889

arXiv-issued DOI via DataCite (pending registration)

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From: Xingyu Chen [view email] [v1] Thu, 21 May 2026 10:38:11 UTC (19,694 KB)

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Key points and analysis

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Key points

  • Teleoperated catheters and guidewires can navigate over 7000 km with 30-163 ms latency
  • 100% procedural success in small human trials, but most evidence from animal or phantom models
  • Potential to reduce clinician radiation exposure and expand access to urgent procedures
  • Need for multi-center clinical trials and research in low/middle-income countries

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