新しいカテーテル技術が、より安全で効率的な血管治療を約束する(New catheter technology promises safer and more efficient treatment of blood vessels)

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2024-11-14 オランダ・デルフト工科大学(TUDelft)

デルフト工科大学の研究者は、血管内治療の安全性と効率を向上させる新しいカテーテル技術を開発しました。この技術は、超音波潤滑を利用してカテーテルと血管壁との摩擦を制御し、ナビゲーション時には低摩擦、手技中には高摩擦を実現します。これにより、血管内層の損傷リスクが低減され、感染症や血栓形成などの術後合併症の発生を抑えることが期待されます。

<関連情報>

超音波潤滑を用いた可変摩擦カテーテルに向けて Toward Variable-Friction Catheters Using Ultrasonic Lubrication

Mostafa A. Atalla; Jeroen J. Tuijp; Michaël Wiertlewski; Aimée Sakes
IEEE Transactions on Medical Robotics and Bionics  Published:20 September 2024
DOI:https://doi.org/10.1109/TMRB.2024.3464672

新しいカテーテル技術が、より安全で効率的な血管治療を約束する(New catheter technology promises safer and more efficient treatment of blood vessels)

Abstract

Minimally invasive endovascular procedures use catheters that are guided through blood vessels to perform interventions, resulting in an inevitable frictional interaction between the catheter and the vessel walls. While this friction enhances stability during the intervention, it poses a risk of damaging the inner layer of the blood vessel wall during navigation, leading to post-operative complications including infectious diseases and thrombus formation. To mitigate the risk of adverse complications, we propose a new concept of a variable-friction catheter capable of transitioning from low friction during navigation to high friction for increased stability while performing the intervention. This variable-friction catheter leverages ultrasonic lubrication to actively control the frictional forces experienced by the catheter during the procedure. In this paper, we demonstrate a proof-of-concept for a friction control module, a pivotal component of the proposed catheter design. Our experiments demonstrate that the prototype effectively reduce friction by up to 11% and 60%, on average, on soft and rigid surfaces, representing its potential performance on healthy and calcified tissue, respectively. This result underscores the feasibility of the design and its potential to improve the safety and efficacy of minimally invasive endovascular procedures.

医療・健康
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