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1000 Titel
  • Three-dimensional guidance including shape sensing of a stentgraft system for endovascular aneurysm repair
1000 Autor/in
  1. Jäckle, Sonja |
  2. García-Vázquez, Verónica |
  3. Eixmann, Tim |
  4. Matysiak, Florian |
  5. von Haxthausen, Felix |
  6. Sieren, Malte |
  7. Schulz-Hildebrandt, Hinnerk |
  8. Hüttmann, Gereon |
  9. Ernst, Floris |
  10. Kleemann, Markus |
  11. Paetz, Torben |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-05-07
1000 Erschienen in
1000 Quellenangabe
  • 15(6):1033-1042
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s11548-020-02167-2 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303070/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!During endovascular aneurysm repair (EVAR) procedures, medical instruments are guided with two-dimensional (2D) fluoroscopy and conventional digital subtraction angiography. However, this requires X-ray exposure and contrast agent is used, and the depth information is missing. To overcome these drawbacks, a three-dimensional (3D) guidance approach based on tracking systems is introduced and evaluated.!##!Methods!#!A multicore fiber with fiber Bragg gratings for shape sensing and three electromagnetic (EM) sensors for locating the shape were integrated into a stentgraft system. A model for obtaining the located shape of the first 38 cm of the stentgraft system with two EM sensors is introduced and compared with a method based on three EM sensors. Both methods were evaluated with a vessel phantom containing a 3D-printed vessel made of silicone and agar-agar simulating the surrounding tissue.!##!Results!#!The evaluation of the guidance methods resulted in average errors from 1.35 to 2.43 mm and maximum errors from 3.04 to 6.30 mm using three EM sensors, and average errors from 1.57 to 2.64 mm and maximum errors from 2.79 to 6.27 mm using two EM sensors. Moreover, the videos made from the continuous measurements showed that a real-time guidance is possible with both approaches.!##!Conclusion!#!The results showed that an accurate real-time guidance with two and three EM sensors is possible and that two EM sensors are already sufficient. Thus, the introduced 3D guidance method is promising to use it as navigation tool in EVAR procedures. Future work will focus on developing a method with less EM sensors and a detailed latency evaluation of the guidance method.
1000 Sacherschließung
lokal Endovascular aneurysm repair
lokal Angiography, Digital Subtraction [MeSH]
lokal Fluoroscopy [MeSH]
lokal Endovascular Procedures/methods [MeSH]
lokal Humans [MeSH]
lokal Aortic Aneurysm/surgery [MeSH]
lokal Original Article
lokal Electromagnetic tracking system
lokal Blood Vessel Prosthesis Implantation/instrumentation [MeSH]
lokal Phantoms, Imaging [MeSH]
lokal Shape sensing
lokal Fiber Bragg gratings
lokal Imaging, Three-Dimensional/methods [MeSH]
lokal Endovascular navigation
lokal Stentgraft system
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-2908-299X|https://orcid.org/0000-0002-8140-3527|https://orcid.org/0000-0001-9311-790X|https://orcid.org/0000-0002-8049-9889|https://orcid.org/0000-0001-9679-5693|https://orcid.org/0000-0002-3669-2892|https://orcid.org/0000-0003-4389-9151|https://orcid.org/0000-0002-5051-3037|https://orcid.org/0000-0002-0474-6673|https://orcid.org/0000-0002-0247-4643|https://orcid.org/0000-0003-1071-1220
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1000 Erstellt am 2023-11-17T18:59:10.818+0100
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1000 Zuletzt bearbeitet 2023-12-01T08:40:22.233+0100
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