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Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model

Percutaneous femoral arterial access is daily practice in a variety of medical specialties and enables physicians worldwide to perform endovascular interventions. The reported incidence of percutaneous femoral arterial access complications is 3–18% and often results from suboptimal puncture location...

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Autores principales: Uhl, Christian, Hatzl, Johannes, Meisenbacher, Katrin, Zimmer, Lea, Hartmann, Niklas, Böckler, Dittmar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874567/
https://www.ncbi.nlm.nih.gov/pubmed/35200749
http://dx.doi.org/10.3390/jimaging8020047
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author Uhl, Christian
Hatzl, Johannes
Meisenbacher, Katrin
Zimmer, Lea
Hartmann, Niklas
Böckler, Dittmar
author_facet Uhl, Christian
Hatzl, Johannes
Meisenbacher, Katrin
Zimmer, Lea
Hartmann, Niklas
Böckler, Dittmar
author_sort Uhl, Christian
collection PubMed
description Percutaneous femoral arterial access is daily practice in a variety of medical specialties and enables physicians worldwide to perform endovascular interventions. The reported incidence of percutaneous femoral arterial access complications is 3–18% and often results from suboptimal puncture location due to insufficient visualization of the target vessel. The purpose of this proof-of-concept study was to evaluate the feasibility and the positional error of a mixed-reality (MR)-assisted puncture of the common femoral artery in a phantom model using a commercially available navigation system. In total, 15 MR-assisted punctures were performed. Cone-beam computed tomography angiography (CTA) was used following each puncture to allow quantification of positional error of needle placements in the axial and sagittal planes. Technical success was achieved in 14/15 cases (93.3%) with a median axial positional error of 1.0 mm (IQR 1.3) and a median sagittal positional error of 1.1 mm (IQR 1.6). The median duration of the registration process and needle insertion was 2 min (IQR 1.0). MR-assisted puncture of the common femoral artery is feasible with acceptable positional errors in a phantom model. Future studies should aim to measure and reduce the positional error resulting from MR registration.
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spelling pubmed-88745672022-02-26 Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model Uhl, Christian Hatzl, Johannes Meisenbacher, Katrin Zimmer, Lea Hartmann, Niklas Böckler, Dittmar J Imaging Article Percutaneous femoral arterial access is daily practice in a variety of medical specialties and enables physicians worldwide to perform endovascular interventions. The reported incidence of percutaneous femoral arterial access complications is 3–18% and often results from suboptimal puncture location due to insufficient visualization of the target vessel. The purpose of this proof-of-concept study was to evaluate the feasibility and the positional error of a mixed-reality (MR)-assisted puncture of the common femoral artery in a phantom model using a commercially available navigation system. In total, 15 MR-assisted punctures were performed. Cone-beam computed tomography angiography (CTA) was used following each puncture to allow quantification of positional error of needle placements in the axial and sagittal planes. Technical success was achieved in 14/15 cases (93.3%) with a median axial positional error of 1.0 mm (IQR 1.3) and a median sagittal positional error of 1.1 mm (IQR 1.6). The median duration of the registration process and needle insertion was 2 min (IQR 1.0). MR-assisted puncture of the common femoral artery is feasible with acceptable positional errors in a phantom model. Future studies should aim to measure and reduce the positional error resulting from MR registration. MDPI 2022-02-16 /pmc/articles/PMC8874567/ /pubmed/35200749 http://dx.doi.org/10.3390/jimaging8020047 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Uhl, Christian
Hatzl, Johannes
Meisenbacher, Katrin
Zimmer, Lea
Hartmann, Niklas
Böckler, Dittmar
Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model
title Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model
title_full Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model
title_fullStr Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model
title_full_unstemmed Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model
title_short Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model
title_sort mixed-reality-assisted puncture of the common femoral artery in a phantom model
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874567/
https://www.ncbi.nlm.nih.gov/pubmed/35200749
http://dx.doi.org/10.3390/jimaging8020047
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