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Canadian Journal of Cardiology

First-in-Man Computed Tomography-Guided Percutaneous Revascularization of Coronary Chronic Total Occlusion Using a Wearable Computer: Proof of Concept

Published:November 19, 2015DOI:https://doi.org/10.1016/j.cjca.2015.08.009

      Abstract

      We report a case of successful computed tomography-guided percutaneous revascularization of a chronically occluded right coronary artery using a wearable, hands-free computer with a head-mounted display worn by interventional cardiologists in the catheterization laboratory. The projection of 3-dimensional computed tomographic reconstructions onto the screen of virtual reality glass allowed the operators to clearly visualize the distal coronary vessel, and verify the direction of the guide wire advancement relative to the course of the occluded vessel segment. This case provides proof of concept that wearable computers can improve operator comfort and procedure efficiency in interventional cardiology.

      Résumé

      Nous rapportons un cas de revascularisation réussie par voie percutanée guidée par tomodensitométrie de l’artère coronaire droite obstruée de manière chronique au moyen d’un ordinateur vestimentaire mains libres et visiocasque porté par les cardiologues interventionnels au laboratoire de cathétérisme. La projection des reconstructions 3D par tomodensitométrie sur l’écran des lunettes de réalité virtuelle permettait aux opérateurs de visualiser clairement le segment distal du vaisseau coronaire et de vérifier le sens de la progression du fil-guide par rapport à la trajectoire du segment obstrué du vaisseau. Le présent cas fournit la preuve du concept qui soutient que les ordinateurs vestimentaires peuvent améliorer le confort de l’opérateur et l’efficacité des actes en cardiologie interventionnelle.
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      References

        • Opolski M.P.
        • Achenbach S.
        Coronary computed tomography angiography for revascularization of chronic total occlusions–crossing the borders of diagnosis and treatment.
        JACC Cardiovasc Imaging. 2015; 8: 846-858
        • Opolski M.P.
        • Achenbach S.
        • Schuhbäck A.
        • et al.
        Coronary computed tomographic prediction rule for time-efficient guidewire crossing through chronic total occlusion: insights from the CT-RECTOR multicenter registry (Computed Tomography Registry of Chronic Total Occlusion Revascularization).
        JACC Cardiovasc Interv. 2015; 8: 257-267
        • Rolf A.
        • Werner G.S.
        • Schuhbäck A.
        • et al.
        Preprocedural coronary CT angiography significantly improves success rates of PCI for chronic total occlusion.
        Int J Cardiovasc Imaging. 2013; 29: 1819-1827
        • Glauser W.
        Doctors among early adopters of Google Glass.
        CMAJ. 2013; 185: 1385