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A Journal on Cardiac, Vascular and Thoracic Surgery

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The Journal of Cardiovascular Surgery 2015 Nov 19

language: English

Interest of fusion imaging and modern navigation tools with hybrid rooms in endovascular aortic procedures

Kaladji A. 1, 2, 3, Daoudal A. 1, 2, 3, Clochard E. 1, Gindre J. 1, 2, 3, Cardon A. 1, Castro M. 2, 3, Haigron P. 2, 3, Lucas A. 1, 2, 3

1 CHU Rennes, Centre of cardiothoracic and vascular surgery, Rennes, France;
2 INSERM, U1099, Rennes, France;
3 University Rennes 1, Signal and Image Processing Laboratory (LTSI), Rennes, France


Since the emergence of hybrid operating rooms, cone-beam CT scans (CBCT) allow new intraoperative imaging to be produced. Image fusion (3D preoperative CT scan overlaid onto 2D live fluoroscopy image) is the most popular application and makes it possible to navigate throughout the aorta and its branches without having to make use of an additional injection, and allows a reduction to be achieved in the quantity of contrast medium and irradiation required during complex procedures. Planning-oriented software available in hybrid rooms make it possible to adjust to the patient and the nature of the procedure, the information that is relevant during the operation. CBCT can also be used as a diagnostic tool at the end of a procedure for the detection of endoleaks and could replace routine CT scans made during the first month following the procedure, indirectly contributing again to a reduction of X-ray and contrast agent doses.

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