Magnetic resonance venography and three-dimensional image fusion guidance provide a novel paradigm for endovascular recanalization of chronic central venous occlusion

Schwein, Adeline; Lu, Tony; Chinnadurai, Ponraj; Kitkungvan, Danai; Shah, Dipan J.; Chakfé, Nabil; Lumsden, Alan B.; Bismuth, Jean

doi:10.1016/j.jvsv.2016.07.010

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…Endovascular venous intervention, compared with arterial intervention, can be more challenging because of the lack of landmarks from vessel calcification and reduced vessel wall thickness. Schwein et al [ 38 ] used image fusion techniques with magnetic resonance venography to successfully recanalize 4 patients with central venous occlusion. It was felt that magnetic resonance venography image fusion improved clinician confidence and the safety of difficult venous endovascular navigation.…”

Section: Resultsmentioning

confidence: 99%

“…Our study revealed a wide range of applications of AR in vascular surgery. Image overlay technology is increasingly used, with its value being reported in endovascular treatment of peripheral arterial disease [ 37 ], deep venous disease [ 38 ], carotid stenting [ 15 ], and aortic disease (EVAR [ 19 , 32 ], TEVAR [ 28 ], and complex EVAR cases [ 31 , 52 ]). There is evidence that it can improve technical success while reducing procedural times, radiation dose, and contrast volume.…”

Section: Discussionmentioning

confidence: 99%

“…Among the clinical studies, 6% (2/32) were cohort studies [15,19], which were found to have a moderate risk of bias according to the Cochrane risk of bias tool for nonrandomized trials [13]. Of the 32 studies, 1 (3%) was a case-control study [25] with a score of 55% according to the Joanna Briggs Institute Critical Appraisal Checklist, 7 (22%) were case series studies [28,32,[37][38][39][40] with SD (16.1%) an average score of 70% (SD 16.1%; range 50%-80%), and 3 (9%) were case reports [16,36,39] an average score of 65% (range 40%-95%).…”

Section: Critical Appraisalmentioning

confidence: 99%

“…They observed significantly improved cannulation times and reduced radiation exposure using this technique. [38] used image fusion techniques with magnetic resonance venography to successfully recanalize 4 patients with central venous occlusion. It was felt that magnetic resonance venography image fusion improved clinician confidence and the safety of difficult venous endovascular navigation.…”

Section: Endovascular-peripheral Arterial Diseasementioning

confidence: 99%

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Augmented Reality in Vascular and Endovascular Surgery: Scoping Review

et al. 2022

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Background Technological advances have transformed vascular intervention in recent decades. In particular, improvements in imaging and data processing have allowed for the development of increasingly complex endovascular and hybrid interventions. Augmented reality (AR) is a subject of growing interest in surgery, with the potential to improve clinicians’ understanding of 3D anatomy and aid in the processing of real-time information. This study hopes to elucidate the potential impact of AR technology in the rapidly evolving fields of vascular and endovascular surgery. Objective The aim of this review is to summarize the fundamental concepts of AR technologies and conduct a scoping review of the impact of AR and mixed reality in vascular and endovascular surgery. Methods A systematic search of MEDLINE, Scopus, and Embase was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. All studies written in English from inception until January 8, 2021, were included in the search. Combinations of the following keywords were used in the systematic search string: (“augmented reality” OR “hololens” OR “image overlay” OR “daqri” OR “magic leap” OR “immersive reality” OR “extended reality” OR “mixed reality” OR “head mounted display”) AND (“vascular surgery” OR “endovascular”). Studies were selected through a blinded process between 2 investigators (JE and AS) and assessed using data quality tools. Results AR technologies have had a number of applications in vascular and endovascular surgery. Most studies (22/32, 69%) used 3D imaging of computed tomography angiogram–derived images of vascular anatomy to augment clinicians’ anatomical understanding during procedures. A wide range of AR technologies were used, with heads up fusion imaging and AR head-mounted displays being the most commonly applied clinically. AR applications included guiding open, robotic, and endovascular surgery while minimizing dissection, improving procedural times, and reducing radiation and contrast exposure. Conclusions AR has shown promising developments in the field of vascular and endovascular surgery, with potential benefits to surgeons and patients alike. These include reductions in patient risk and operating times as well as in contrast and radiation exposure for radiological interventions. Further technological advances are required to overcome current limitations, including processing capacity and vascular deformation by instrumentation.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Critical Appraisalmentioning

confidence: 99%

Section: Endovascular-peripheral Arterial Diseasementioning

confidence: 99%

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Augmented Reality in Vascular and Endovascular Surgery: Scoping Review

et al. 2022

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“…We previously described magnetic resonance venography (MRV) and CBCT image fusion guidance for endovascular recanalization of chronic CVO, in which patients with failed standard endovascular recanalization underwent successful recanalization when aligning virtual centerlines from MRV with an actual guidewire trajectory on fluoroscopy ( 3 ). In the current case, we used image fusion guidance to facilitate a percutaneous approach of a hemodialysis catheter placed as a bridge to a future hybrid combination graft-catheter implant for arteriovenous access.…”

Section: Discussionmentioning

confidence: 99%

Cone-Beam CT and Image Fusion-Guided Percutaneous Recanalization of Occluded Central Venous Stent

et al. 2021

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We describe an 81-year-old man with end-stage renal disease and central venous occlusion who was referred for dialysis access creation. This case illustrates a novel percutaneous image fusion–guided recanalization of an occluded right subclavian vein and brachiocephalic vein stent in a patient with limited remaining dialysis access sites. ( Level of Difficulty: Advanced. )

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