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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Journal of Imaging |
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| Online Access: | https://www.mdpi.com/2313-433X/8/2/47 |
| _version_ | 1797479046914768896 |
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| author | Christian Uhl Johannes Hatzl Katrin Meisenbacher Lea Zimmer Niklas Hartmann Dittmar Böckler |
| author_facet | Christian Uhl Johannes Hatzl Katrin Meisenbacher Lea Zimmer Niklas Hartmann Dittmar Böckler |
| author_sort | Christian Uhl |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-09T21:40:17Z |
| format | Article |
| id | doaj.art-88b1fb99363c4f0ba82b244b5da5d54b |
| institution | Directory Open Access Journal |
| issn | 2313-433X |
| language | English |
| last_indexed | 2024-03-09T21:40:17Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Imaging |
| spelling | doaj.art-88b1fb99363c4f0ba82b244b5da5d54b2023-11-23T20:33:29ZengMDPI AGJournal of Imaging2313-433X2022-02-01824710.3390/jimaging8020047Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom ModelChristian Uhl0Johannes Hatzl1Katrin Meisenbacher2Lea Zimmer3Niklas Hartmann4Dittmar Böckler5Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, GermanyPercutaneous 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.https://www.mdpi.com/2313-433X/8/2/47mixed realityvirtual realityvascular surgeryvascular accessfemoral arteryendovascular |
| spellingShingle | Christian Uhl Johannes Hatzl Katrin Meisenbacher Lea Zimmer Niklas Hartmann Dittmar Böckler Mixed-Reality-Assisted Puncture of the Common Femoral Artery in a Phantom Model Journal of Imaging mixed reality virtual reality vascular surgery vascular access femoral artery endovascular |
| 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 | mixed reality virtual reality vascular surgery vascular access femoral artery endovascular |
| url | https://www.mdpi.com/2313-433X/8/2/47 |
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