[go: up one dir, main page]
More Web Proxy on the site http://driver.im/ Skip to main content

Advertisement

Springer Nature Link
Log in

Automated catheter tip repositioning for intra-cardiac echocardiography

  • Original Article
  • Published:
International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Intra-Cardiac Echocardiography (ICE) is a powerful imaging modality for guiding cardiac electrophysiology and structural heart interventions. ICE provides real-time observation of anatomy and devices, while enabling direct monitoring of potential complications. In single operator settings, the physician needs to switch back-and-forth between the ICE catheter and therapy device, making continuous ICE support impossible. Two operator setups are sometimes implemented, but increase procedural costs and room occupation.

Methods

ICE catheter robotic control system is developed with automated catheter tip repositioning (i.e., view recovery) method, which can reproduce important views previously navigated to and saved by the user. The performance of the proposed method is demonstrated and evaluated in a combination of heart phantom and animal experiments.

Results

Automated ICE view recovery achieved catheter tip position accuracy of \({2.09}~\pm ~{0.90}~\) mm and catheter image orientation accuracy of \({3.93}~\pm ~{2.07}^\circ \) in animal studies, and \({0.67}~\pm ~{0.79}~\)mm and \({0.37}~\pm ~{0.19}^\circ \) in heart phantom studies, respectively. Our proposed method is also successfully used during transseptal puncture in animals without complications, showing the possibility for fluoro-less transseptal puncture with ICE catheter robot.

Conclusion

Robotic ICE imaging has the potential to provide precise and reproducible anatomical views, which can reduce overall execution time, labor burden of procedures, and X-ray usage for a range of cardiac procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
£29.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (United Kingdom)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Epstein L, Smith T, TenHoff H (1998) Nonfluoroscopic transseptal catheterization: safety and efficacy of intracardiac echocardiographic guidance. J Cardiovasc Electrophysiol 9(6):625–630

    Article  CAS  Google Scholar 

  2. Calo L, Lamberti F, Loricchio M, D’Alto M, Castro A, Boggi A, Pandozi C, Santini M (2002) Intracardiac echocardiography: from electroanatomic correlation to clinical application in interventional electrophysiology. Ital Heart J 3(7):387–398

  3. Rigatelli G (2005) Expanding the use of intracardiac echocardiography in congenital heart disease catheter-based interventions. J Am Soc Echocardiogr 18:1230–1231

  4. Tan W, Aboulhosn J (2019) Echocardiographic guidance of interventions in adults with congenital heart defects. Cardiovascular Diagnosis and Therapy 9(2):S346–S359

    Article  Google Scholar 

  5. Basman C, Parmar Y, Kronzon I (2017) Intracardiac echocardiography for structural heart and electrophysiological interventions. Curr Cardiol Rep 19(10):102

    Article  Google Scholar 

  6. Silvestry F, Kerber R, Brook M, Carroll J, Eberman K, Goldstein S, Herrmann H, Homma S, Mehran R, Packer D, Parisi A, Pulerwitz T, Seward J, Tsang T, Wood M (2009) Echocardiography-guided interventions. J Am Soc Echocardiogr 22(3):213–231

    Article  Google Scholar 

  7. Bartel T, Edris A, Velik-Salchner C, Muller S (2016) Intracardiac echocardiography for guidance of transcatheter aortic valve implantation under monitored sedation: a solution to a dilemma? Eur Heart J Cardiovasc Imaging 17(1):1–8

    PubMed  Google Scholar 

  8. Saji M, Rossi A, Ailawadi G, Dent J, Ragosta M, Lim D (2016) Adjunctive intracardiac echocardiography imaging from the left ventricle to guide percutaneous mitral valve repair with the mitraclip in patients with failed prior surgical rings. Catheter Cardiovasc Interv 87(2):e75–e82

    Article  Google Scholar 

  9. Ren J, Marchlinksy F, Supple G, Hutchinson M, Garcia F, Riley M, Lin D, Zado ES, Callans DJ, Ferrari VA (2013) Intracardiac echocardiographic diagnosis of thrombus formation in the left atrial appendage: a complementary role to transesophageal echocardiography. Echocardiography 30:72–80

    Article  Google Scholar 

  10. Matsuo Y, Neuzil P, Petru J, Chovanec M, Janotka M, Choudry S, Skoda J, Sediva L, Kurabayashi M, Reddy V (2016) Left atrial appendage closure under intracardiac echocardiographic guidance: feasibility and comparison with transesophageal echocardiography. J Am Heart Assoc 5(10):4

    Article  Google Scholar 

  11. Medford B, Taggart N, Cabalka A, Cetta F, Reeder G, Hagler D, Johnson JN (2014) Intracardiac echocardiography during atrial septal defect and patent foramen ovale device closure in pediatric and adolescent patients. J Am Soc Echocardiogr 27(9):984–990

    Article  Google Scholar 

  12. Filgueiras-Rama D, de Torres-Alba F, Castrejon-Castrejon S, Estrada A, Figueroa J, Salvador-Montanes O, Moreno-Yanguela T, Sendon J, Merino J (2015) Utility of intracardiac echocardiography for catheter ablation of complex cardiac arrhythmias in a medium-volume training center. Echocardiography 32(4):660–670

    Article  Google Scholar 

  13. Saliba W, Thomas J (2008) Intracardiac echocardiography during catheter ablation of atrial fibrillation. Europace 10(3):42–47

    Google Scholar 

  14. Stereotaxis (2020) Stereotaxis v-drive robotic navigation system, http://www.stereotaxis.com/products/vdrive

  15. Loschak PM, Brattain LJ, Howe RD (2017) Algorithms for automatically pointing ultrasound imaging catheters. IEEE Trans Rob 33(1):81–91

    Article  Google Scholar 

  16. LaValle SM (2006) Planning Algorithms. Cambridge University Press, New York, NY, USA

    Book  Google Scholar 

  17. Yushkevich PA, Piven J, Hazlett HC, Smith RG, Ho S, Gee JC, Gerig G (2006) User-guided 3D active contour segmentation of anatomical structures: significantly improved efficiency and reliability. Neuroimage 31(3):1116–1128

    Article  Google Scholar 

  18. Schónemann PH (1966) A generalized solution of the orthogonal procrustes problem. Psychometrika 31:1–10

    Article  Google Scholar 

  19. Fitzpatrick J, West J, Maurer C (1998) Predicting error in rigid-body point-based registration. IEEE Trans Med Imaging 17(5):694–702

    Article  CAS  Google Scholar 

  20. Li Z, Collins J, Kim Y-H, Chinnadurai P, Mansi T, Lin CH (2021) Zero-fluoroscopy transseptal puncture guided by intelligent intracardiac echocardiography robotics. J Am College Cardiol 77(18):970–970

    Article  Google Scholar 

  21. Enriquez A, Saenz LC, Rosso R, Silvestry FE, Callans D, Marchlinski FE, Garcia F (2018) Use of intracardiac echocardiography in interventional cardiology: working with the anatomy rather than fighting it. Circulation 137(21):2278–2294

    Article  Google Scholar 

  22. Bommer W, Weinert L, Neumann A, Neef J, Mason DT, DeMaria A (1979) Determination of right atrial and right ventricular size by two-dimensional echocardiography. Circulation 60(1):91–100

    Article  CAS  Google Scholar 

Download references

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

Author information

Authors and Affiliations

  1. Digital Technology & Innovation, Siemens Healthineers, Princeton, NJ, USA

    Young-Ho Kim, Jarrod Collins, Ankur Kapoor & Tommaso Mansi

  2. Houston Methodist Research Institute, Houston, TX, USA

    Zhongyu Li & C. Huie Lin

  3. Advanced Therapies, Siemens Medical Solutions Inc., Malvern, PA, USA

    Ponraj Chinnadurai

  4. Houston Methodist DeBakey Heart & Vascular Center, Houston, TX, USA

    C. Huie Lin

Authors
  1. Young-Ho Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jarrod Collins
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Zhongyu Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ponraj Chinnadurai
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ankur Kapoor
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. Huie Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Tommaso Mansi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Young-Ho Kim.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving animals were in accordance with the ethical standards of the institution or practice at which the studies were conducted.

Informed consent

This articles does not contain patient data.

Disclaimer

The concepts and information presented in this paper are based on research results that are not commercially available. Future availability cannot be guaranteed.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kim, YH., Collins, J., Li, Z. et al. Automated catheter tip repositioning for intra-cardiac echocardiography. Int J CARS 17, 1409–1417 (2022). https://doi.org/10.1007/s11548-022-02631-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11548-022-02631-1

Keywords

Search

Navigation