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A Numerical Preoperative Planning Model to Predict Arterial Deformations in Endovascular Aortic Aneurysm Repair

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Abstract

Endovascular aneurysm repair is rapidly emerging as the primary preferred method for treating abdominal aortic aneurysm. In this image-guided interventional procedure, to obtain the roadmap and decrease contrast injections, preoperative CT images are overlaid onto live fluoroscopy images using various 2D/3D image fusion techniques. However, the structural changes due to the insertion of stiff tools degrade the fusion accuracy. To correct the mismatch and quantify the intraoperative deformations, we present a patient-specific biomechanical model of the aorto-iliac structure and its surrounding tissues. The predictive capability of the model was evaluated against intraoperative data for a group of four patients. Incorporating the perivascular tissues into the model significantly improved the results and the mean distance between the real and simulated endovascular tools was 2.99 ± 1.78 mm on the ipsilateral side and 4.59 ± 3.25 mm on the contralateral side. Moreover, the distance between the deformed iliac ostia and their corresponding landmarks on intraoperative images was 2.99 ± 2.48 mm.

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Acknowledgments

We thank the FQRNT (Fonds de recherche du Québec – Nature et technologies). The research project were funded by the Nature Sciences and Engineering Research Council of Canada (NSERC) collaborative research and development grant, in partnership with Siemens Healthineers, CAE Healthcare, and the Medteq consortium.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Centre de recherche du centre hospitalier de l’Université de Montréal (CRCHUM), Montreal, H2X 0A9, Canada

    Hossein Mohammadi, Simon Lessard & Gilles Soulez

  2. Mechanical Engineering Department, McGill University, Montreal, H3A 0C3, Canada

    Hossein Mohammadi & Rosaire Mongrain

  3. Department of Radiology Radiation-Oncology and Nuclear Medicine, Université de Montréal, Montreal, H3T 1A4, Canada

    Eric Therasse & Gilles Soulez

Authors
  1. Hossein Mohammadi
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  2. Simon Lessard
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  3. Eric Therasse
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  4. Rosaire Mongrain
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  5. Gilles Soulez
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Correspondence to Hossein Mohammadi.

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Associate Editor Karol Miller oversaw the review of this article.

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Mohammadi, H., Lessard, S., Therasse, E. et al. A Numerical Preoperative Planning Model to Predict Arterial Deformations in Endovascular Aortic Aneurysm Repair. Ann Biomed Eng 46, 2148–2161 (2018). https://doi.org/10.1007/s10439-018-2093-8

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  • DOI: https://doi.org/10.1007/s10439-018-2093-8

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