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Electromagnetic Guided In-Situ Laser Fenestration of Endovascular Stent-Graft: Endovascular Tools Sensorization Strategy and Preliminary Laser Testing

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Medical Imaging and Augmented Reality (MIAR 2016)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 9805))

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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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Authors and Affiliations

  1. EndoCAS Center, Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy

    Sara Condino, Roberta Piazza, Vincenzo Ferrari & Mauro Ferrari

  2. Unit of Vascular Surgery of the Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy

    Roberta Piazza, Raffaella Berchiolli & Mauro Ferrari

  3. Italian National Research Council (CNR), Institute of Applied Physics, Florence, Italy

    Filippo Micheletti, Francesca Rossi & Roberto Pini

  4. Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy

    Aldo Alberti

  5. Department of Information Engineering, University of Pisa, Pisa, Italy

    Vincenzo Ferrari

Authors
  1. Sara Condino
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  2. Roberta Piazza
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  3. Filippo Micheletti
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  4. Francesca Rossi
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  5. Roberto Pini
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  6. Raffaella Berchiolli
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  7. Aldo Alberti
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  8. Vincenzo Ferrari
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  9. Mauro Ferrari
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Corresponding author

Correspondence to Sara Condino .

Editor information

Editors and Affiliations

  1. Institute for Surgical Technology, University of Bern, Bern, Switzerland

    Guoyan Zheng

  2. Tsinghua University, Tokyo, Japan

    Hongen Liao

  3. Faculte de Medicine, Universite de Rennes 1, Rennes Cedex, France

    Pierre Jannin

  4. University of Basel, Allschwil, Switzerland

    Philippe Cattin

  5. Hamlyn Centre, Imperial College London, London, United Kingdom

    Su-Lin Lee

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© 2016 Springer International Publishing Switzerland

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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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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43774-3

  • Online ISBN: 978-3-319-43775-0

  • eBook Packages: Computer ScienceComputer Science (R0)

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