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Surgery Today
Published in: Surgery Today 12/2016

01-12-2016 | Original Article

New simple image overlay system using a tablet PC for pinpoint identification of the appropriate site for anastomosis in peripheral arterial reconstruction

Authors: Yasuaki Mochizuki, Akihiro Hosaka, Hiroki Kamiuchi, Jun Xiao Nie, Ken Masamune, Katsuyuki Hoshina, Tetsuro Miyata, Toshiaki Watanabe

Published in: Surgery Today | Issue 12/2016

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Abstract

Purpose

To evaluate the accuracy and utility of a new image overlay system using a tablet PC for patients undergoing peripheral arterial reconstruction.

Methods

Eleven limbs treated with distal bypass surgery were studied. Three-dimensional images obtained by processing a preoperative contrast-enhanced computed tomography scan were superimposed onto the back-camera images of a tablet PC. We used this system to pinpoint a planned distal anastomotic site preoperatively and to make a precise incision directly above it during surgery. We used a branch artery near the distal anastomotic site as a reference point and the accuracy of the system was validated by comparing its results with the intraoperative findings. The precision of the system was also compared with that of a preoperative ultrasonographic examination.

Results

Both the image overlay system and ultrasonography (US) accurately identified the target branch artery in all except one limb. In that limb, which had a very small reference branch artery, preoperative US wrongly identified another branch, whereas the image overlay system located the target branch with an error of 10 mm.

Conclusions

Our image overlay system was easy to use and allowed us to precisely identify a target artery preoperatively. Therefore, this system could be helpful for pinpointing the most accurate incision site during surgery.
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Metadata
Title
New simple image overlay system using a tablet PC for pinpoint identification of the appropriate site for anastomosis in peripheral arterial reconstruction
Authors
Yasuaki Mochizuki
Akihiro Hosaka
Hiroki Kamiuchi
Jun Xiao Nie
Ken Masamune
Katsuyuki Hoshina
Tetsuro Miyata
Toshiaki Watanabe
Publication date
01-12-2016
Publisher
Springer Japan
Published in
Surgery Today / Issue 12/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-016-1326-4

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