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 |
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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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