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Development of a Simulator for Endovascular Repair of Abdominal Aortic Aneurysms

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Abstract

The design and development of a simulator for endovascular repair of abdominal aortic aneurysm (AAA) is described. The simulator consists of an interchangeable model of a human AAA based on computed tomography data and is produced by means of computer-aided design and manufacture (CAD/CAM) techniques. The model has renal, iliac, and femoral arteries, and is perfused with a temperature controlled blood–analog fluid under simulated physiological flow conditions. “Fluoroscopic imaging” is simulated by a computerized imaging system that uses visible light. A movable video camera relays images in the antero–posterior and lateral planes of the AAA to a monitor. The imaging system allows “arteriography” and “road-mapping” to be performed so as to facilitate accurate deployment of endovascular stent-grafts. The system has been used for teaching and demonstrating endovascular techniques to clinicians, as well as the evaluation of new stent-graft devices. Its successful incorporation into endovascular workshops has demonstrated its role in the training of clinicians in endovascular repair of AAA. © 1998 Biomedical Engineering Society.

PAC98: 0150-i, 8745Hw, 8759Fm

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REFERENCES

  1. Ahn, S. S., R. B. Rutherford, K. W. Johnston, J. May, F. J. Veith, J. D. Baker, C. B. Ernst, and W. S. Moore.. Reporting standards for infrarenal endovascular abdominal aortic aneurysm repair. J. Vasc. Surg.25:405-410, 1997.

    Google Scholar 

  2. Chuter, T. A. M., R. M. Green, K. Ouriel, and J. A. De Weese. Infrarenal aortic aneurysm structure: Implications for transfemoral repair. J. Vasc. Surg.20:44-50, 1994.

    Google Scholar 

  3. Ernst, C. B. Abdominal aortic aneurysm. N. Engl. J. Med.328:1167-1172, 1993.

    Google Scholar 

  4. Friedman, M. H., B. D. Kuban, P. Schmalbrock, K. Smith, and T. Altan. Fabrication of vascular replicas from magnetic resonance images. J. Biomech. Eng.117:364-365, 1995.

    Google Scholar 

  5. Green, R. M., and T. A. M. Chuter. Evolution of technologies in endovascular grafting. Cardiovasc. Surg.3:101-107, 1995.

    Google Scholar 

  6. Harris, P. L. Reducing the mortality from abdominal aortic aneurysms: Need for a national screening programme. Br. J. Surg.303:697-699, 1992.

    Google Scholar 

  7. Ingoldby, C. J. H., R. Wujanto, and J. E. Mitchell. Impact of vascular surgery on community mortality from ruptured aortic aneurysms. Br. J. Surg.73:552-553, 1986.

    Google Scholar 

  8. Laborde, J. C., J. C. Parodi, M. F. Clem, F. O. Tio, H. D. Barone, F. J. Rivera, C. E. Encarnacion, and J. C. Palmaz. Intraluminal bypass of abdominal aortic aneurysm: Feasibility study. Radiology184:185-190, 1992.

    Google Scholar 

  9. McDonald, D. A. Blood Flow in Arteries, 2nd ed., London, UK: E. Arnold, 1974.

    Google Scholar 

  10. Mirich, D., K. C. Wright, S. Wallace, T. Yoshioka, D. D. Lawrence, Jr., C. Charnsangavej, and C. Gianturco. Percutaneously placed endovascular grafts for aortic aneurysms: Feasibility study. Radiology170:1033-1037, 1989.

    Google Scholar 

  11. Moore, Jr., J. E., and D. N. Ku. Pulsatile velocity measurements in a model of the human abdominal aorta under resting conditions. J. Biomech. Eng.117:337-346, 1994.

    Google Scholar 

  12. Moore, W. S., and R. B. Rutherford. Transfemoral endovascular repair of abdominal aortic aneurysm: Results of the North American EVT phase I trial. J. Vasc. Surg.23:543- 553, 1996.

    Google Scholar 

  13. Parodi, J. C. Endovascular repair of abdominal aortic aneurysms and other arterial lesions. J. Vasc. Surg.21:549-557, 1995.

    Google Scholar 

  14. Parodi, J. C., J. C. Palmaz, and H. D. Barone. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann. Vasc. Surg.5:491-499, 1991.

    Google Scholar 

  15. Ruiz, C. E., H. P. Zhang, J. T. Douglas, C. W. Zuppan, and C. J. C. Kean. A novel method for treatment of abdominal aortic aneurysms using percutaneous implantation of a newly designed endovascular device. Circulation91:2470-2477, 1995.

    Google Scholar 

  16. Veith, F. J., W. M. Abbott, J. S. T. Yao, J. Goldstone, R. A. White, D. Abel, M. D. Dake, C. B. Ernst, T. J. Fogarty, K. W. Johnston, W. S. Moore, A. van Breda, G. Sopko, P. Didisheim, R. B. Rutherford, B. T. Katzen, and D. C. Miller, for the Endovascular Graft Committee. Guidelines for the development and use of transluminally placed endovascular prosthetic grafts in the arterial system. J. Vasc. Surg.21:670-685, 1995.

    Google Scholar 

  17. Whitehouse, G. H., and B. S. Worthington. Techniques in Diagnostic Imaging. Oxford, UK: Blackwell Science Ltd., 1996.

    Google Scholar 

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Chong, C.K., How, T.V., Black, R.A. et al. Development of a Simulator for Endovascular Repair of Abdominal Aortic Aneurysms. Annals of Biomedical Engineering 26, 798–802 (1998). https://doi.org/10.1114/1.66

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  • DOI: https://doi.org/10.1114/1.66

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