Feasibility and safety of augmented-reality glass for computed tomography-assisted percutaneous revascularization of coronary chronic total occlusion: A single center prospective pilot study

Opolski, Maksymilian P.; Dębski, Artur; Borucki, Bartosz; Staruch, Adam D.; Kępka, Cezary; Rokicki, Jakub; Sieradzki, Bartosz; Witkowski, Adam

doi:10.1016/j.jcct.2017.09.013

Cited by 26 publications

(19 citation statements)

References 20 publications

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“…As an illustration, Opolski et al. ( 2017 ) performed revascularization of a chronic coronary total occlusion assisted by AR glasses without adverse events.…”

Section: Discussionmentioning

confidence: 99%

Surgery guided by mixed reality: presentation of a proof of concept

Grégory

Sledge³

et al. 2018

Acta Orthopaedica

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“…As an illustration, Opolski et al. ( 2017 ) performed revascularization of a chronic coronary total occlusion assisted by AR glasses without adverse events.…”

Section: Discussionmentioning

confidence: 99%

Surgery guided by mixed reality: presentation of a proof of concept

Grégory

Sledge³

et al. 2018

Acta Orthopaedica

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“…Subsequently, the periprocedural co-registration of CTA using a wearable computer resulted in improved efficiency and less use of resources (as reflected by more frequent selection of the firstchoice stiffer wire and lower contrast exposure), although there were no differences in CTO success rate as compared with standard CTO PCI [34]. Notably, both of these studies were limited by observational design and antegrade wiring strategies, so that the results need to be interpreted with caution [33,34].…”

Section: Coronary Cta Co-registration In the Catheterisation Laboratorymentioning

confidence: 99%

A computed tomography algorithm for crossing coronary chronic total occlusions: riding on the wave of the proximal cap and distal vessel segment

2020

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With wider adoption of coronary computed tomography angiography (coronary CTA), chronic total occlusions (CTOs) are being increasingly identified and characterised by non-invasive angiography. In particular, the ability of coronary CTA to clearly delineate atherosclerotic plaque, as well as to display three-dimensional vessel trajectories, has garnered particular attention in the context of preprocedural planning and periprocedural guidance of CTO percutaneous coronary intervention (PCI). Single CTO features and combined scoring systems derived from CTA (mostly exceeding the diagnostic performance of the angiographic J‑CTO score) have been used to predict time-efficient guidewire crossing, and thus grade the CTO difficulty level prior to PCI. In addition, the introduction of three-dimensional CTA/fluoroscopy co-registration for periprocedural navigation during CTO PCI offers the unprecedented opportunity to resolve proximal cap ambiguity and clearly visualise the distal CTO segment, thereby potentially influencing CTO PCI strategies and techniques. In this review, the potential advantages of non-invasive evaluation of CTO by coronary CTA are described, and a CTA-based hybrid algorithm is introduced for further enhancing the efficiency of CTO PCI. Further studies are clearly needed to verify the proposed approach. However, several luminary operators have already implemented coronary CTA for planning and periprocedural guidance of CTO interventions using the hybrid algorithm.

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“…With the advancement of medical engineering, AR has been extensively used as a navigation tool. The intraoperative AR-assisted navigation system has been applied in various surgical procedures, such as percutaneous revascularization of coronary chronic total occlusion, transcatheter aortic valve implantation, perforator flap transplantation, plastic surgery, neurosurgery, maxillofacial surgery, and hepatopancreatobiliary surgery 8, 9, 10. Its use in vascular interventions has not been described.…”

Section: Discussionmentioning

confidence: 99%

Augmented reality navigation to assist retrograde peroneal access for the endovascular treatment of critical limb ischemia

Liu

Wang

Wei

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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Retrograde access is an alternative approach to endovascular intervention for critical limb ischemia but may be challenging in patients with poor below-knee vessel runoff. Here, we introduce an innovative technique based on an augmented reality navigation system to gain successful retrograde access to the peroneal artery of an 84-year-old woman with critical limb ischemia. Our result showed that this innovative technique had the potential advantage of influencing target vessel access selection with lower contrast material volume and radiation exposure compared with the conventional approach. More in-depth study is required to investigate the safety and efficacy of augmented reality-assisted vascular interventions.

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Feasibility and safety of augmented-reality glass for computed tomography-assisted percutaneous revascularization of coronary chronic total occlusion: A single center prospective pilot study

Cited by 26 publications

References 20 publications

Surgery guided by mixed reality: presentation of a proof of concept

Surgery guided by mixed reality: presentation of a proof of concept

A computed tomography algorithm for crossing coronary chronic total occlusions: riding on the wave of the proximal cap and distal vessel segment

Augmented reality navigation to assist retrograde peroneal access for the endovascular treatment of critical limb ischemia

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