Effectiveness of intraoperative 3D visualisation navigation system usage during aorta endograft-ing procedures

Effectiveness of intraoperative 3D visualisation navigation system usage during aorta endografting procedures

Lepilin P.M., Kolegaev A.S., Salichkin D.V., Kuchin I.V., Komlev A.E., Polevaya T.U., Imaev T.E., Akchurin R.S., Ternovoy S.K., Fedotenkov I.S.

Purpose. To evaluate the possibility of reducing the intraoperative negative factors (contrast volume, x-ray exposition time) by using the VesselNavigator 3D navigation system (Philips) in the operations of endografting of the aorta or its branches.

Materials and methods. For the study, 60 patients with aortic enlargement at the infrarenal aorta level were selected retrospectively: group 1 - 30 patients in whom operations on the abdominal aorta were performed using the intraoperative navigation system VesselNavigator (release 1.0.11.10006 and the second group was formed by 30 cases with endograft implantation performed without using an intraoperative navigation system (control group).

Results. Analyzing the difference of contrast injected during the procedure (volume / injection number), it was shown that patients with preoperative 3D reconstruction of aorta and target vessels (renal, common iliac, common femoral arteries) with VesselNavigator system based on preoperative MSCT data, usually received less contrast solution (15-25 ml)  compared with patients who underwent implantation without using the 3D navigation software.

Conclusion. The use of vascular 3D navigation systems during aortic operations allows us to reduce the amount of x-ray exposition radiation received for both the surgeon and the patient. This software can allow us to reduce the amount of contrast solution from 10 to 50% of the usually used volume.

1 - National Medical Research Center of

Cardiology.

2 - Sechenov University. Moscow, Russia.

 

Keywords: MSCT fusion, EVAR, 3D navigation, endografting, stent-graft, AAA, VesselNavigator, hybrid operating room.

 


Corresponding author:  Lepilin P.M. e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Lepilin P.M., Kolegaev A.S., Salichkin D.V., Kuchin I.V., Komlev A.E., Polevaya T.U., Imaev T.E., Akchurin R.S., Ternovoy S.K., Fedotenkov I.S. Effectiveness of intraoperative 3D visualisation navigation system usage during aorta endografting procedures. REJR 2019; 9(4):77-81. DOI:10.21569/2222-7415-2019-9-4-77-81.

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Received:        01.08.19 Accepted:       14.10.19