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The view of the stent graft guidance before implantation (left) and the fluoroscopic image after implantation (right)
S. Jäckle, V. García-Vázquez, Felix Haxthausen, Tim Eixmann, M. Sieren, H. Schulz-Hildebrandt, G. Hüttmann, F. Ernst, M. Kleemann, T. Pätz (2020)
Abstract: 3D Catheter Guidance Including Shape Sensing for Endovascular Navigation
S. Jäckle, V. García-Vázquez, Tim Eixmann, F. Matysiak, Felix Haxthausen, M. Sieren, H. Schulz-Hildebrandt, G. Hüttmann, F. Ernst, M. Kleemann, T. Pätz (2020)
Three-dimensional guidance including shape sensing of a stentgraft system for endovascular aneurysm repairInternational Journal of Computer Assisted Radiology and Surgery, 15
AbstractIn endovascular aneurysm repair (EVAR) procedures, the stent graft navigation and implantation is currently performed under a two-dimensional (2D) imaging based guidance requiring X-rays and contrast agent. In this work, a novel 3D stent graft guidance approach based on tracking systems is introduced. A calibration method and the visualization of the stent graft guidance are described. The tracking based stent graft guidance is evaluated by conducting an EVAR procedure on a torso phantom using a stent graft system equipped with an optical fiber and three EM sensors. The physicians were able to navigate the stent graft to the landing zone, and to place and implant it as intended using the introduced guidance. This showed that the application of the stent graft guidance is feasible in a clinical environment and promising for the reduction of radiation and contrast agent.
Current Directions in Biomedical Engineering – de Gruyter
Published: Aug 1, 2021
Keywords: endovascular navigation; stent graft system; fiber Bragg gratings; EM sensor
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