机器人辅助超声引导血管内支架植入术在血管模型中的应用。
Robotic Assisted Ultrasound-Guided Endovascular Stent Implantation in a Vascular Model.
机构信息
Department of Surgery, Division for Vascular and Endovascular Surgery, University Hospital Schleswig-Holstein Campus Luebeck, Lübeck, Germany.
Department of Vascular Medicine, University Heart and Vascular Centre UKE Hamburg, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
出版信息
Int J Med Robot. 2024 Dec;20(6):e70005. doi: 10.1002/rcs.70005.
BACKGROUND
Endovascular procedures are the preferred method for treating peripheral arterial disease. However, limited imaging options during these procedures, such as X-rays and contrast media, expose patients and healthcare professionals to potentially harmful radiation. This study introduces a robotic ultrasound system (RUSS) for navigating endovascular procedures in order to reduce radiation and provide additional information.
METHODS
The RUSS comprises a seven-degree-of-freedom robotic arm that navigates an ultrasound transducer across a specific region of interest. The system is controlled by a self-programed software designed to navigate the robotic arm in a methodical and reproducible manner using a foot switch.
RESULTS
An endovascular surgeon investigated the guidance and visibility of various guidewires and successfully implanted three stents in a vascular leg phantom using the RUSS without further radiation exposure.
CONCLUSIONS
The innovative set-up has several potential applications, including radiation-free endovascular procedures as well as health screening and diagnostic support in vascular medicine.
背景
血管内手术是治疗外周动脉疾病的首选方法。然而，这些手术中有限的成像选择，如 X 射线和造影剂，会使患者和医疗保健专业人员暴露在潜在的有害辐射下。本研究引入了一种用于导航血管内手术的机器人超声系统（RUSS），以减少辐射并提供额外的信息。
方法
RUSS 由一个七自由度的机器人臂组成，该机器人臂可以在特定的感兴趣区域导航超声换能器。该系统由一个自我编程的软件控制，该软件设计用于通过脚踏开关以有条不紊和可重复的方式导航机器人臂。
结果
一位血管内外科医生研究了各种导丝的引导和可视性，并成功地在一个血管腿部模型中使用 RUSS 植入了三个支架，而没有进一步的辐射暴露。
结论
该创新的设置有几个潜在的应用，包括无辐射的血管内手术以及血管医学中的健康筛查和诊断支持。
Zotero 插件