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2016 | OriginalPaper | Buchkapitel

Electromagnetic Guided In-Situ Laser Fenestration of Endovascular Stent-Graft: Endovascular Tools Sensorization Strategy and Preliminary Laser Testing

verfasst von : Sara Condino, Roberta Piazza, Filippo Micheletti, Francesca Rossi, Roberto Pini, Raffaella Berchiolli, Aldo Alberti, Vincenzo Ferrari, Mauro Ferrari

Erschienen in: Medical Imaging and Augmented Reality

Verlag: Springer International Publishing

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Abstract

The in-situ endograft fenestration, a possible surgical option for the minimally invasive treatment of aneurysms with unfavorable anatomy, is today limited by difficulties in targeting the fenestration site and by the lack of a safe method to perforate the graft. In this work we suggest the use of: a 3D electromagnetic (EM) navigator, to accurately guide the endovascular instruments to the target, and a laser system, to selectively perforate the graft. More particularly we propose to integrate a laser fiber into a sensorized guidewire and we describe an EM sensorization strategy to accurately guide the laser tool. Finally we preliminary explore different laser irradiation conditions to achieve a successful endograft fenestration and we verify that the heating generated by the laser doesn’t damage the EM coils.

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Titel: Electromagnetic Guided In-Situ Laser Fenestration of Endovascular Stent-Graft: Endovascular Tools Sensorization Strategy and Preliminary Laser Testing
verfasst von: Sara Condino
Roberta Piazza
Filippo Micheletti
Francesca Rossi
Roberto Pini
Raffaella Berchiolli
Aldo Alberti
Vincenzo Ferrari
Mauro Ferrari
Verlag: Springer International Publishing
Buch: Medical Imaging and Augmented Reality
Print ISBN: 978-3-319-43774-3

Electronic ISBN: 978-3-319-43775-0

Copyright-Jahr: 2016
DOI: https://doi.org/10.1007/978-3-319-43775-0_7

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