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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-8874567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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