Design and Functionality of a Multilumen Thoracic Access Port for Pericardial Access Under Direct Visualization Article Swipe
Jacqueline Contento
,
Paige Mass
,
Rohan N. Kumthekar
,
Charles I. Berul
,
Justin D. Opfermann
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1115/1.4054999
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1115/1.4054999
Small vasculature, venous obstruction, or congenital anomalies can preclude transvenous access to the heart, often resulting in open chest surgery to implant cardiac therapy leads for pacing, defibrillation, or cardiac resynchronization. A minimally invasive approach under direct visualization could reduce tissue damage, minimize pain, shorten recovery time, and obviate the need for fluoroscopy. Therefore, PeriPath was designed as a single-use, low-cost pericardial access tool based on clinical requirements. Its mechanical design aids in safe placement of conductive leads to the pericardium using a modified Seldinger technique. The crossed working channels provide an optimal view of the surgical field under direct visualization. Finite element analysis (FEA) confirms that the device is likely not to fail under clinical working conditions. Mechanical testing demonstrates that the tensile strength of its components is sufficient for use, with minimal risk of fracture. The PeriPath procedure is also compatible with common lead implantation tools and can be readily adopted by interventional cardiologists and electrophysiologists, allowing for widespread implementation. Prior animal work and a physician preliminary validation study suggest that PeriPath functions effectively for minimally invasive lead implantation procedures.
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- Type
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- Language
- en
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- https://doi.org/10.1115/1.4054999
- OA Status
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All OpenAlex metadata
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https://openalex.org/W4285493674Canonical identifier for this work in OpenAlex
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https://doi.org/10.1115/1.4054999Digital Object Identifier
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Design and Functionality of a Multilumen Thoracic Access Port for Pericardial Access Under Direct VisualizationWork title
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articleOpenAlex work type
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enPrimary language
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2022Year of publication
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2022-07-15Full publication date if available
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Jacqueline Contento, Paige Mass, Rohan N. Kumthekar, Charles I. Berul, Justin D. OpfermannList of authors in order
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https://doi.org/10.1115/1.4054999Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://www.ncbi.nlm.nih.gov/pmc/articles/9445317Direct OA link when available
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Computer science, Port (circuit theory), Visualization, Engineering, Data mining, Electrical engineeringTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2024: 1, 2023: 2Per-year citation counts (last 5 years)
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