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Published on: April 21, 2013
Recent Progress in Contact Force Sensing Techniques for Cardiovascular Interventional Procedures
Shibang Li1, Ru Wang2, Le Song1
1State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, Tianjin, 300072, China.
Insights
Accurate contact force (CF) sensing is crucial for safe cardiovascular interventions. This review explores advanced CF sensing methods, materials, and designs to minimize risks like vascular injury during procedures.
Area of Science:
- Biomedical Engineering
- Medical Devices
- Cardiovascular Interventions
Background:
- Cardiovascular diseases (CVDs) are leading global causes of death and disability.
- Interventional procedures for CVDs use guidewires and catheters but lack accurate contact force (CF) measurement.
- Inaccurate CF sensing increases risks of vascular injury and procedural failure.
Purpose of the Study:
- To systematically review current research on contact force (CF) sensing in cardiovascular interventional procedures.
- To analyze CF sensing methods, materials, sensor designs, and applications.
- To identify future directions for CF sensing technology.
Main Methods:
- Comparative analysis of various CF sensing techniques.
- Overview of functional materials utilized in CF sensors.
- Evaluation of different sensor designs for performance and limitations.
- Summary of CF sensing applications in guidewire navigation, occlusion penetration, and catheter ablation.
Main Results:
- Identified strengths and limitations of different CF sensing methods.
- Characterized properties of functional materials for CF sensing.
- Compared sensor designs based on performance and constraints.
- Detailed applications of CF sensing in key interventional procedures.
Conclusions:
- Accurate CF sensing is essential for improving safety and efficacy in cardiovascular interventions.
- Advancements in materials and sensor design are critical for reliable CF measurement.
- Future research in CF sensing will significantly impact biomedical applications and patient outcomes.
Abstract:
Cardiovascular diseases (CVDs), such as heart attacks and strokes, are the top causes of death and disability globally. The standard treatment for CVDs usually involves interventional procedures, in which slender instruments such as guidewires and catheters are navigated through blood vessels to reach target lesions. However, the inability to accurately quantify the contact force (CF) between interventional instruments and tissues raises the risks of vascular injury, poor ablation results, and high rates of recurrence after the procedure. With rapid advancements in robot-assisted interventional surgery, the need for accurate CF measurement and feedback has become increasingly urgent. This review systematically examines the latest research on CF sensing in interventional procedure, organized into four main areas: 1) a comparative analysis of CF sensing methods and their strengths and limitations; 2) an overview of functional materials for CF sensing and their properties; 3) a comparative evaluation of sensor designs regarding performance and constraints; and 4) a practical summary of CF sensing applications in guidewire navigation, occlusion penetration, catheter ablation, and related procedures. Finally, future directions for CF sensing, highlighting its critical role in advancing biomedical applications, are discussed.
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