Feasibility and safety of augmented-reality glass for computed tomography-assisted percutaneous revascularization of coronary chronic total occlusion: A single center prospective pilot study

Autor: Adam Witkowski, Adam D. Staruch, Maksymilian P. Opolski, Artur Debski, Jakub K. Rokicki, Bartosz Borucki, Cezary Kępka, Bartosz Sieradzki
Rok vydání: 2017
Předmět:
Male
Health Knowledge
Attitudes
Practice
Percutaneous
Computed Tomography Angiography
medicine.medical_treatment
Pilot Projects
030204 cardiovascular system & hematology
Coronary Angiography
Coronary artery disease
User-Computer Interface
Cardiologists
0302 clinical medicine
Microcomputers
Materials Testing
Prospective Studies
Registries
030212 general & internal medicine
Prospective cohort study
Computed tomography angiography
medicine.diagnostic_test
Attitude to Computers
Optical Devices
Equipment Design
Middle Aged
Mobile Applications
Treatment Outcome
Surgery
Computer-Assisted
Cardiology
Radiographic Image Interpretation
Computer-Assisted
Female
Radiology
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
Attitude of Health Personnel
Revascularization
03 medical and health sciences
Percutaneous Coronary Intervention
Internal medicine
Radiologists
medicine
Humans
Radiology
Nuclear Medicine and imaging
cardiovascular diseases
Vascular Calcification
Aged
business.industry
Percutaneous coronary intervention
Image Enhancement
medicine.disease
Coronary Occlusion
Coronary occlusion
Chronic Disease
Conventional PCI
Feasibility Studies
Poland
business
Zdroj: Journal of Cardiovascular Computed Tomography. 11:489-496
ISSN: 1934-5925
Popis: Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) may be facilitated by projection of coronary computed tomography angiography (CTA) datasets in the catheterization laboratory. There is no data on the feasibility and safety outcomes of CTA-assisted CTO PCI using a wearable augmented-reality glass.A total of 15 patients scheduled for elective antegrade CTO intervention were prospectively enrolled and underwent preprocedural coronary CTA. Three-dimensional and curved multiplanar CT reconstructions were transmitted to a head-mounted hands-free computer worn by interventional cardiologists during CTO PCI to provide additional information on CTO tortuosity and calcification. The results of CTO PCI using a wearable computer were compared with a time-matched prospective angiographic registry of 59 patients undergoing antegrade CTO PCI without a wearable computer. Operators' satisfaction was assessed by a 5-point Likert scale.Mean age was 64 ± 8 years and the mean J-CTO score was 2.1 ± 0.9 in the CTA-assisted group. The voice-activated co-registration and review of CTA images in a wearable computer during CTO PCI were feasible and highly rated by PCI operators (4.7/5 points). There were no major adverse cardiovascular events. Compared with standard CTO PCI, CTA-assisted recanalization of CTO using a wearable computer showed more frequent selection of the first-choice stiff wire (0% vs 40%, p 0.001) and lower contrast exposure (166 ± 52 vs 134 ± 43 ml, p = 0.03). Overall CTO success rates and safety outcomes remained similar between both groups.CTA-assisted CTO PCI using an augmented-reality glass is feasible and safe, and might reduce the resources required for the interventional treatment of CTO.
Databáze: OpenAIRE
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