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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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
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author Mamadou Diallo
Clemens Eder
Daniel Brasier
Sorin Popa
Robert Dickinson
author_facet Mamadou Diallo
Clemens Eder
Daniel Brasier
Sorin Popa
Robert Dickinson
author_sort Mamadou Diallo
collection DOAJ
description 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.
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spelling doaj.art-9c74894a3f6b48bf88c8c17be08c11762023-11-30T22:27:29ZengMDPI AGSensors1424-82202022-06-012213492810.3390/s22134928Electric-Field-Based Guidance for Percutaneous Catheter Vessel CrossingMamadou Diallo0Clemens Eder1Daniel Brasier2Sorin Popa3Robert Dickinson4Pathfinder Medical, London SW11 3TZ, UKPathfinder Medical, London SW11 3TZ, UKPathfinder Medical, London SW11 3TZ, UKPathfinder Medical, London SW11 3TZ, UKDepartment of Bioengineering, Imperial College, London SW7 2AZ, UKPercutaneous 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.https://www.mdpi.com/1424-8220/22/13/4928anastomosisfistulacatheterintravascularelectric field sensor
spellingShingle Mamadou Diallo
Clemens Eder
Daniel Brasier
Sorin Popa
Robert Dickinson
Electric-Field-Based Guidance for Percutaneous Catheter Vessel Crossing
Sensors
anastomosis
fistula
catheter
intravascular
electric field sensor
title Electric-Field-Based Guidance for Percutaneous Catheter Vessel Crossing
title_full Electric-Field-Based Guidance for Percutaneous Catheter Vessel Crossing
title_fullStr Electric-Field-Based Guidance for Percutaneous Catheter Vessel Crossing
title_full_unstemmed Electric-Field-Based Guidance for Percutaneous Catheter Vessel Crossing
title_short Electric-Field-Based Guidance for Percutaneous Catheter Vessel Crossing
title_sort electric field based guidance for percutaneous catheter vessel crossing
topic anastomosis
fistula
catheter
intravascular
electric field sensor
url https://www.mdpi.com/1424-8220/22/13/4928
work_keys_str_mv AT mamadoudiallo electricfieldbasedguidanceforpercutaneouscathetervesselcrossing
AT clemenseder electricfieldbasedguidanceforpercutaneouscathetervesselcrossing
AT danielbrasier electricfieldbasedguidanceforpercutaneouscathetervesselcrossing
AT sorinpopa electricfieldbasedguidanceforpercutaneouscathetervesselcrossing
AT robertdickinson electricfieldbasedguidanceforpercutaneouscathetervesselcrossing