Abstract
The preferred method of treatment for Atrial Fibrillation (AF) is by catheter ablation wherein a catheter is guided into the left atrium through a transseptal puncture. However, the transseptal puncture constrains the catheter, thereby limiting its maneuverability and increasing the difficulty in reaching various locations in the left atrium. In this paper, we address the problem of choosing the optimal transseptal puncture location for performing cardiac ablation to obtain maximum maneuverability of the catheter. We have employed an optimization algorithm to maximize the Global Isotropy Index (GII) to evaluate the optimal transseptal puncture location. As part of this algorithm, a novel kinematic model for the catheter has been developed based on a continuum robot model. Preoperative MR/CT images of the heart are segmented using the open source image-guided therapy software, Slicer 3, to obtain models of the left atrium and septal wall. These models are input to the optimization algorithm to evaluate the optimal transseptal puncture location. Simulation results for the optimization algorithm are presented in this paper.
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References
Hansen Medical Inc., http://www.hansenmedical.com/
Pappone, C., Vicedomini, G., Manguso, F., Gugliotta, F., Mazzone, P., Gulletta, S., Sora, N., Sala, S., Marzi, A., Augello, G.: Robotic magnetic navigation for atrial fibrillation ablation. Journal of the American College of Cardiology 47, 1390–1400 (2006)
Ponti, R.D., et al.: Trans-septal catheterization in the electrophysiology laboratory: data from a multicenter survey spanning 12 years. J. Am. Coll. Cardiol. 47, 1037–1042 (2006)
Cannon, J., Stoll, J., Selha, S., Dupont, P., Howe, R., Torchiana, D.: Port placement planning in robot-assisted coronary artery bypass. IEEE Transactions on Robotics and Automation 19, 912–917 (2003)
Trejos, A.L., Patel, R.V., Ross, I., Kiaii, B.: Optimizing port placement for robot-assisted minimally invasive cardiac surgery. Int. J. Med. Robotics Comput. Assist. Surg. 3, 355–364 (2007)
Adhami, L., Coste-Manière, È., Boissonnat, J.-D.: Planning and simulation of robotically assisted minimal invasive surgery. In: Delp, S.L., DiGoia, A.M., Jaramaz, B. (eds.) MICCAI 2000. LNCS, vol. 1935, pp. 624–633. Springer, Heidelberg (2000)
Badani, K.K., Muhletaler, F., Fumo, M., Kaul, S., Peabody, J.O., Bhandari, M., Menon, M.: Optimizing robotic renal surgery: The lateral camera port placement technique and current results. Journal of Endourology 22, 507–510 (2008)
Stocco, L., Salcudean, S.E., Sassani, F.: Fast constrained global minimax optimization of robot parameters. Robotica 16, 595–605 (1998)
Sciavicco, L., Siciliano, B.: A solution algorithm to the inverse kinematic problem for redundant manipulators. IEEE Transactions on Robotics and Automation 4, 403–410 (1988)
Merlet, J.P.: Jacobian, manipulability, condition number, and accuracy of parallel robots. Journal of Mechanical Design 128, 199–206 (2006)
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Jayender, J., Patel, R.V., Michaud, G.F., Hata, N. (2009). Optimal Transseptal Puncture Location for Robot-Assisted Left Atrial Catheter Ablation. In: Yang, GZ., Hawkes, D., Rueckert, D., Noble, A., Taylor, C. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2009. MICCAI 2009. Lecture Notes in Computer Science, vol 5761. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04268-3_1
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DOI: https://doi.org/10.1007/978-3-642-04268-3_1
Publisher Name: Springer, Berlin, Heidelberg
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