A fast method of virtual stent graft deployment for computer assisted EVAR

DOI10.1007/978-3-030-42428-2_10MaRDI QIDQ5141325zbMATH OpenOpenAlexFDO

Authors Aymeric Pionteck, B. Pierrat, Sébastien Gorges, Jean-Noël Albertini, Stéphane Avril

Publication date 18 December 2020

Published in Computational Biomechanics for Medicine (Search for Journal in Brave)

Full work available at URL https://arxiv.org/abs/2102.08034

zbMATH Keywords

abdominal aortic aneurysms (AAA)augmented realitycomputed tomographycomputer assisted surgeryendovascular aneurysm repair (EVAR)finite element analysis (FEA)real-time simulationstent-graft

Mathematics Subject Classification ID

Biomechanics (92C10) Medical applications (general) (92C50)

Abstract: In this paper we introduce a new method simulating stent graft deployment for assisting endovascular repair of abdominal aortic aneurysms. The method relies on intraoperative images coupled with mechanical models. A multi-step algorithm has been developed to increase the reliability of simulations. The first step predicts the position of the stent graft within the aorta. The second step is an axisymmetric geometric reconstruction of each individual stent. The third step minimizes the rotation of each stent around its main axis. Finally, the last step virtually deploys each stent within a deployment box extracted from the preoperative CT scan. A proof of concept is performed on a patient. The accuracy is compatible with the clinical threshold of 3 mm: the average distance between target and simulated stents is 1.73 $pm$ 0.37 mm. Fenestrations of the stent-graft are reconstructed with a maximum error of less than 2.5 mm, which is enables a secure catheterization of secondary arteries. In summary, the method is able to assist EVAR practitioners by providing all necessary information for a fast and accurate stent graft positioning, combining intraoperative data and a mechanical model in a very low cost framework.

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Cites work

• Chrono: An Open Source Multi-physics Dynamics Engine
• Comparison and calibration of a real-time virtual stenting algorithm using finite element analysis and genetic algorithms
• Computational fluid dynamics of stented intracranial aneurysms using adaptive embedded unstructured grids

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(4)

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Describes a project that uses

Uses Software

• vmtk
• Chrono
• GitHub

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