Electric-Field-Based Guidance for Percutaneous Catheter Vessel Crossing

Percutaneous procedures to divert blood flow from one blood vessel to another can be performed with intravascular catheters but demand a method to align a crossing needle from one vessel to another. Fluoroscopic imaging alone is not adequate, and it is preferable to have a sensor on one catheter tha...

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Bibliographic Details
Main Authors: Mamadou Diallo, Clemens Eder, Daniel Brasier, Sorin Popa, Robert Dickinson
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/22/13/4928
Description
Summary:Percutaneous procedures to divert blood flow from one blood vessel to another can be performed with intravascular catheters but demand a method to align a crossing needle from one vessel to another. Fluoroscopic imaging alone is not adequate, and it is preferable to have a sensor on one catheter that detects the correct alignment of an incoming needle. This can be implemented by generating dipole electric fields from the crossing catheter which are detected by a receiving catheter in the target vessel and, thus, can calculate and display the degree of alignment, permitting the operator to rotate the crossing catheter to guarantee alignment when deploying a crossing needle. Catheters were built using this concept and evaluated in vitro. The results show that accurate alignment is achieved, and a successful crossing can be made. The concept is being further developed for further clinical evaluation.
ISSN:1424-8220