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Electromagnetically tracked placement of a peripherally inserted central catheter

机译:电磁跟踪放置在外围的中央导管的位置

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摘要

This paper describes a computer program to utilize electromagnetic tracking guidance during insertion of peripherally inserted central catheters. Placement of a Peripherally Inserted Central Catheter (PICC) line is a relatively simple, routine procedure in which a catheter is inserted into the veins of the lower arm and threaded up the arm to the vena cava to sit just above the heart. However, the procedure requires x-ray verification of the catheter position and is usually done under continuous fluoroscopic guidance. The computer program is designed to replace fluoroscopic guidance in this procedure and make PICC line placement a bedside procedure. This would greatly reduce the time and resources dedicated to this procedure. The physician first goes through a quick registration procedure to register the patient space with the computer screen coordinates. Once registration is completed, the program provides a continuous, real-time display of the position of the catheter tip overlaid on an x-ray image of the patient on an adjacent computer screen. Both the position and orientation of the catheter tip is shown. The display is very similar to that shown when using fluoroscopy.
机译:本文介绍了一种计算机程序,该程序在外围插入的中央导管插入过程中利用电磁跟踪引导。放置周围插入的中央导管(PICC)线是一种相对简单的常规程序,其中将导管插入下臂的静脉中,然后将臂穿入上腔静脉,使其位于心脏上方。但是,该过程需要对导管位置进行X射线验证,并且通常在连续的荧光检查指导下进行。该计算机程序旨在代替该程序中的荧光检查指导,并使PICC管线放置成为床头程序。这将大大减少用于此过程的时间和资源。医师首先要进行快速注册程序,以使用计算机屏幕坐标注册患者空间。一旦完成注册,该程序将在相邻计算机屏幕上连续实时显示覆盖在患者X射线图像上的导管尖端的位置。显示了导管尖端的位置和方向。该显示与使用荧光检查时显示的显示非常相似。

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