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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Acknowledgments
This research has been supported by the scientific project “Electromagnetic guided in-situ laser fenestration of endovascular endoprosthesis” funded by the Italian Ministry of Health and Regione Toscana through the call “Ricerca Finalizzata 2011–2012”.
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Condino, S. et al. (2016). Electromagnetic Guided In-Situ Laser Fenestration of Endovascular Stent-Graft: Endovascular Tools Sensorization Strategy and Preliminary Laser Testing. In: Zheng, G., Liao, H., Jannin, P., Cattin, P., Lee, SL. (eds) Medical Imaging and Augmented Reality. MIAR 2016. Lecture Notes in Computer Science(), vol 9805. Springer, Cham. https://doi.org/10.1007/978-3-319-43775-0_7
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DOI: https://doi.org/10.1007/978-3-319-43775-0_7
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