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Biomedical Engineering / Biomedizinische Technik

Joint Journal of the German Society for Biomedical Engineering in VDE and the Austrian and Swiss Societies for Biomedical Engineering and the German Society of Biomaterials

Editor-in-Chief: Dössel, Olaf

Editorial Board: Augat, Peter / Habibović, Pamela / Haueisen, Jens / Jahnen-Dechent, Wilhelm / Jockenhoevel, Stefan / Knaup-Gregori, Petra / Lenarz, Thomas / Leonhardt, Steffen / Plank, Gernot / Radermacher, Klaus M. / Schkommodau, Erik / Stieglitz, Thomas / Boenick, Ulrich / Jaramaz, Branislav / Kraft, Marc / Lenthe, Harry / Lo, Benny / Mainardi, Luca / Micera, Silvestro / Penzel, Thomas / Robitzki, Andrea A. / Schaeffter, Tobias / Snedeker, Jess G. / Sörnmo, Leif / Sugano, Nobuhiko / Werner, Jürgen /


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Volume 59, Issue 2

Issues

Volume 57 (2012)

Technical concepts for vascular electromagnetic navigated interventions: Aortic in situ fenestration and transjugular intrahepatic porto-systemic shunts

Tobias Penzkofer
  • Corresponding author
  • Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany
  • Surgical Planning Laboratory, Brigham and Women′s Hospital, Boston, MA, USA
  • Applied Medical Engineering, RWTH Aachen University Hospital, Aachen, Germany
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Peter Isfort
  • Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany
  • Applied Medical Engineering, RWTH Aachen University Hospital, Aachen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Hong-Sik Na
  • Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany
  • Applied Medical Engineering, RWTH Aachen University Hospital, Aachen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Christoph Wilkmann
  • Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany
  • Applied Medical Engineering, RWTH Aachen University Hospital, Aachen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Sabine Osterhues / Andreas Besting / Christoph Hänisch / Stefan Bisplinghoff / Johannes Jansing / Sylvie von Werder / Jorge Gooding / Mathias de la Fuente / Andreas H. Mahnken
  • Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany
  • Diagnostic and Interventional Radiology, University Hospital Marburg, Marburg, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Catherine Disselhorst-Klug / Thomas Schmitz-Rode / Christiane K. Kuhl / Philipp Bruners
  • Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany
  • Applied Medical Engineering, RWTH Aachen University Hospital, Aachen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2013-11-01 | DOI: https://doi.org/10.1515/bmt-2013-0045

Abstract

This work presents concepts for complex endovascular procedures using electromagnetic navigation technology (EMT). Navigation software interfacing a standard commercially available navigation system was developed, featuring registration, electromagnetic field distortion correction, breathing motion detection and gating, and state-of-the-art 3D imaging post processing. Protocols for endovascularly placed, in-situ fenestrated abdominal aortic stent grafts and an EMT guided transjugular intrahepatic portosystemic shunt (TIPSS) creation have been designed. A dedicated set of interventional devices was developed for each of the procedures: For aortic in-situ fenestration a combination of high-porosity stentgrafts, steerable catheters and electromagnetically navigated guidewires was used, for TIPSS a dual-navigated (sheath and stylet) TIPSS-device was designed and manufactured. The developed devices underwent phantom testing, in preparation for animal experiments to prove the feasibility of the approach. Once established, these systems could aid in performing these challenging interventional radiology procedures, exploiting the unique characteristics of electromagnetic navigation and solving multiple of the problems associated with these interventions being performed under X-ray fluoroscopy, such as lacking real-time 3D information or extensive exposure to ionizing radiation.

Keywords: electromagnetic navigation; endovascular aortic repair; minimally invasive vascular interventions; transjugular intrahepatic portosystemic shunt

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About the article

Corresponding author: Tobias Penzkofer, Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany; Surgical Planning Laboratory, Brigham and Women′s Hospital, Boston, MA, USA; and Applied Medical Engineering, RWTH Aachen University Hospital, Aachen, Germany, E-mail:

aThese authors contributed equally.


Received: 2013-04-17

Accepted: 2013-10-07

Published Online: 2013-11-01

Published in Print: 2014-04-01


Citation Information: Biomedical Engineering / Biomedizinische Technik, Volume 59, Issue 2, Pages 153–163, ISSN (Online) 1862-278X, ISSN (Print) 0013-5585, DOI: https://doi.org/10.1515/bmt-2013-0045.

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