Skip to main content
SpringerLink
Log in

A Navigation Platform for Guidance of Beating Heart Transapical Mitral Valve Repair

  • Conference paper
Information Processing in Computer-Assisted Interventions (IPCAI 2012)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 7330))

Abstract

Traditional approaches for repairing and replacing mitral valves have relied on placing the patient on cardiopulmonary bypass (on-pump) and accessing the arrested heart directly via a median sternotomy. However, because this approach has the potential for adverse neurological, vascular and immunological sequalae, there is a push towards performing such procedures in a minimally-invasive fashion. Nevertheless, preliminary experience on animals and humans has indicated that ultrasound guidance alone is often not sufficient. This paper describes the first porcine trial of the NeoChord DS1000 (Minnetonka, MN), employed to attach neochords to a mitral valve leaflet where the traditional ultrasound guided protocol has been augmented by dynamic virtual geometric models. In addition to demonstrating that the procedure can be performed with significantly increased precision and speed (up to 6 times), we also record and compare the trajectories used by each of five surgeons to navigate the NeoChord instrument.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Gillinov, A.M., Cosgrove, D.M., Blackstone, E.H., Diaz, R., Arnold, J.H., Lytle, B.W., Smedira, N.G., Sabik, J.F., McCarthy, P.M., Loop, F.D.: Durability of mitral valve repair for degenerative disease. J. Thorac. Cardiovasc Surg. 116(5), 734–743 (1998)

    Article  Google Scholar 

  2. Freed, L.A., Levy, D., Levine, R.A., Larson, M.G., Evans, J.C., Fuller, D.L., Lehman, B., Benjamin, E.J.: Prevalence and Clinical Outcome of Mitral-Valve Prolapse. N. Engl. J. Med. 341, 1–7 (1999)

    Article  Google Scholar 

  3. Augoustides, J.G., Atluri, P.: Progress in mitral valve disease: understanding the revolution. J. Cardiothorac Vasc. Anesth. 23(6), 916–923 (2009)

    Article  Google Scholar 

  4. Nifong, L.W., Chu, V.F., Bailey, B.M., Maziarz, D.M., Sorrell, V.L., Holbert, D., Chitwood Jr., W.R.: Robotic mitral valve repair: experience with the da Vinci system. Ann. Thorac. Surg. 75(2), 438–442 (2003)

    Article  Google Scholar 

  5. Murphy, D.A., Miller, J.S., Langford, D.A.: Endoscopic robotic mitral valve surgery. J. Thorac. Cardiovasc. Surg. 133(4), 1119–1120 (2007); author reply 1120

    Article  Google Scholar 

  6. Alfieri, O., De Bonis, M., Maisano, F., La Canna, G.: Future Directions in Degenerative Mitral Valve Repair. Seminars in Thoracic and Cardiovascular Surgery 19(2), 127–132 (2007)

    Article  Google Scholar 

  7. NeoChord Inc., http://www.neochord.com/

  8. Bajona, P., Katz, W.E., Daly, R.C., Kenton, J.Z., Speziali, G.: Beating-heart, off-pump mitral valve repair by implantation of artificial chordae tendineae: An acute in vivo animal study. The Journal of Thoracic and Cardiovascular Surgery, 188–193 (2009)

    Google Scholar 

  9. Linte, C.A., Moore, J., Wedlake, C., Bainbridge, D., Guiraudon, G.M., Jones, D.L., Peters, T.M.: Inside the beating heart: an in vivo feasibility study on fusing pre- and intra-operative imaging for minimally invasive therapy. International Journal of Computer Assisted Radiology and Surgery, 113–123 (2009)

    Google Scholar 

  10. Vasilyev, N.V., Novotny, P.M., Martinez, J.F., Loyola, H., Salgo, I.S., Howe, R.D., del Nido, P.J.: Stereoscopic vision display technology in real-time three-dimensional echocardiography-guided intracardiac beating-heart surgery. J. Thorac. Cardiovasc. Surg. 135(6), 1334–1341 (2008)

    Article  Google Scholar 

  11. Seeburger, J., Noack, T., Lyontyev, L., Höbartner, M., Tschernich, H., Ender, J., Borger, M.A., Mohr, F.: Value of three dimensional real-time transoesophageal echocardiography in guiding transapical beating heart mitral valve repair. In: 25th EACTS Annual Meeting Interactive CardioVascular and Thoracic Surgery, S 112 (2011)

    Google Scholar 

  12. Gobbi, D.G., Comeau, R.M., Peters, T.M.: Ultrasound Probe Tracking for Real-Time Ultrasound/MRI Overlay and Visualization of Brain Shift. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 920–927. Springer, Heidelberg (1999)

    Chapter  Google Scholar 

  13. Seeburger, J., Leontjev, S., Neumuth, M., Noack, T., Höbartner, M., Misfeld, M., Borger, M.A., Mohr, F.W.: Transapical beating-heart implantation of neo-chordae to mitral valve leaflets: results of an acute animal study. Eur. J. Cardiothorac. Surg. (2011)

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Robarts Research Institute, Western University, London, Ontario, Canada

    John Moore, Chris Wedlake, Pencilla Lang, Martin Rajchl & Terry Peters

  2. London Health Sciences Center, London, Ontario, Canada

    Daniel Bainbridge, Gerard Guiraudon, Michael Chu & Bob Kiaii

Authors
  1. John Moore
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chris Wedlake
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Daniel Bainbridge
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gerard Guiraudon
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Michael Chu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Bob Kiaii
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Pencilla Lang
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Martin Rajchl
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Terry Peters
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Electrical and Computer Engineering, The University of British Columbia, V6T 1Z4, Vancouver, BC, Canada

    Purang Abolmaesumi

  2. School of Engineering and Computer Science,ELSC, The Hebrew University of Jerusalem, Givat Ram, 91904, Jerusalem, Israel

    Leo Joskowicz

  3. Technische Universität München, Boltzmannstr. 3, 85748, Garching, Germany

    Nassir Navab

  4. Facult’e de Médecine, Universit’e de Rennes 1, UMR 1099 LTSI, 2 Avenue de Pr. L’eon Bernard, CS 34317, 35043, Rennes Cedex, France

    Pierre Jannin

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Moore, J. et al. (2012). A Navigation Platform for Guidance of Beating Heart Transapical Mitral Valve Repair. In: Abolmaesumi, P., Joskowicz, L., Navab, N., Jannin, P. (eds) Information Processing in Computer-Assisted Interventions. IPCAI 2012. Lecture Notes in Computer Science, vol 7330. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30618-1_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-30618-1_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-30617-4

  • Online ISBN: 978-3-642-30618-1

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics

Search

Navigation