Avoiding pitfalls of intraoperative peripheral endovascular surgery with the aid of OsiriX: expanding the use of virtual fluoroscopy.

Autor: Molinari GJ; Universidade Estadual de Campinas, Campinas, SP, Brazil., Dalbem AM; Universidade Estadual de Campinas, Campinas, SP, Brazil., Guillaumon AT; Universidade Estadual de Campinas, Campinas, SP, Brazil.
Jazyk: angličtina
Zdroj: Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular [Rev Bras Cir Cardiovasc] 2014 Jul-Sep; Vol. 29 (3), pp. 455-8.
DOI: 10.5935/1678-9741.20140094
Abstrakt: We have shown how the analysis of the angiotomography reconstruction through OsiriX program has assisted in endovascular perioperative programming. We presented its application in situations when an unexpected existence of metallic overlapping artifact (orthopedic osteosynthesis) compromised the adequate visualization of the arterial lesion during the procedure. Through manipulation upon OsiriX software, with assistance of preview under virtual fluoroscopy, it was possible to obtain the angles that would avoid this juxtaposition. These angles were reproduced in the C-arm, allowing visualization of the occluded segment, reducing the need for repeated image acquisitions and contrast overload, allowing the continuation of the procedure.
Databáze: MEDLINE