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Cardiovasc Eng Technol ; 9(3): 405-413, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29947016

RESUMEN

In the current scenario of endovascular intervention, surgeons have to manually navigate the catheter within the complex vasculature of the human body under the guidance of X-ray. This manual intervention upsurges the possibilities of vessel damage due to frequent contact between the catheter and vasculature wall. In this context, a shape memory alloy-based miniaturized actuator was proposed in this study with a specific aim to reduce vessel wall related damage by improving the bending motions of the guidewire tip in a semi-automatic fashion. The miniaturized actuator was integrated with a FDA-approved guidewire and tested within a patient-specific vascular network model to realize its feasibility in the real surgical environment. The results illustrate that the miniaturized actuator gives a bending angle over 23° and lateral displacement over 900 µm to the guide wire tip by which the guidewire can be navigated with precision and possible vessel damage during the catheter intervention can certainly be minimized. In addition to it, the dynamic responses of the presented actuator were further investigated through numerical simulation in conjunction with the analytic analysis.


Asunto(s)
Aleaciones , Cateterismo Periférico/instrumentación , Procedimientos Endovasculares/instrumentación , Arteria Mesentérica Superior , Dispositivos de Acceso Vascular , Cateterismo Periférico/efectos adversos , Angiografía por Tomografía Computarizada , Procedimientos Endovasculares/efectos adversos , Diseño de Equipo , Humanos , Ensayo de Materiales , Arteria Mesentérica Superior/diagnóstico por imagen , Miniaturización , Modelos Anatómicos , Modelos Cardiovasculares , Análisis Numérico Asistido por Computador , Modelación Específica para el Paciente , Docilidad , Lesiones del Sistema Vascular/etiología , Lesiones del Sistema Vascular/prevención & control
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