A computational program for automated surgical planning of fenestrated endovascular repair
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Author(s) • • •
Dillon, Tom M.
Liang, Patric
Schermerhorn, Marc L.
Roche, Ellen T.
Date Issued
June 13, 2023
Journal
Communications Engineering
Publisher
Springer Science and Business Media LLC
Citation
Dillon, T.M., Liang, P., Schermerhorn, M.L. et al. A computational program for automated surgical planning of fenestrated endovascular repair. Commun Eng 2, 37 (2023).
Version
Final published version
Abstract
An Abdominal Aortic Aneurysm (AAA) is a dilation of the aorta at the level of the abdomen. To reduce the risk of rupture, an endograft is often implanted inside the aneurysm to decrease pressure on the aneurysm sac. To maintain blood flow to major abdominal vessels, a fenestrated endograft can be used, whereby physicians modify commercial endografts by creating fenestrations based on preoperative computed tomography imaging. The manual process of aligning patient-specific visceral anatomy onto endografts can be tedious and subject to human error. Here we developed a computational program, ‘FenFit’, for automated fitting of fenestrations onto commercially available endografts. A pilot clinical study was conducted to evaluate the efficiency of FenFit compared to physician manual planning, showing FenFit can reduce planning time by 62-fold on average. Our program has potential to improve clinical outcomes by providing a user interface that is expeditious and far less susceptible to human error.
MIT Department
Massachusetts Institute of Technology. Department of Mechanical Engineering
Massachusetts Institute of Technology. Institute for Medical Engineering & Science
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DOI of Published Version
https://doi.org/10.1038/s44172-023-00083-2