About this trial
This project is aiming at the integration of a biomechanical computer program with a guidance code to simulate the endovascular repair (EVAR) procedure of abdominal aortic aneurysm (AAA). The computational time associated with finite element simulation generally renders its usage impractical for real-time application. Based on data collected during clinical interventions and a priori knowledge of AAA and endovascular device mechanical modeling, the investigators are proposing a deformable registration between preoperative CT-scans and per-operative fluoroscopy that will take into account prior simulations of participant specific EVAR procedures. To avoid the computational cost of a full finite element simulation, the investigators propose a simplified and real-time compliant repetitive mechanical behaviour based on participant specific parameters.
The results of this research will provide the Canadian industry with the first realistic deformable vascular geometry tool for live endovascular intervention guidance. The proposed biomechanical modeling can be translated to other vascular intervention procedure by adjusting the biomechanical parameters.
Eligibility criteria
Qualifiers
Patients with a clinical indication for EVAR/FEVAR of AAA and meeting anatomic inclusion criteria on preoperative enhanced CT-scan compatible with an endovascular repair.
Willing and capable of providing informed consent
Disqualifiers
Contraindication to endovascular repair
Creatinine clearance < 30ml/min
History of severe allergy to iodinated contrast (anaphylaxis, bronchospasm)
Absence of recent previous thin-slice enhanced CT-scanner examination (stent planning based on MRI examination or non-enhanced CT examination).
Trial design
Treatments tested in this trial
- Biomechanical computer program
Treatment groups
Sponsors and collaborators
Centre hospitalier de l'Université de Montréal (CHUM)
Lead sponsor
Siemens Corporation, Corporate Technology
Collaborator
Natural Sciences and Engineering Research Council, Canada
Collaborator
MedTeq
Collaborator