Development of a vascular endoscopic system for observing inner wall of large arteries for the use of endovascular intervention

We have been developing an endoscopic system for observing inner wall of large arteries. The purpose of this system is to visualize the inner wall of large arteries, e.g., an aorta, without blocking off the blood stream for the use of an assistive technique for endovascular interventions such as stent-graft placement for aortic aneurysm. The technique newly introduced for this purpose was the use of intermittent high-pressure saline jet synchronized to heart beat (diastolic phase). In the previous paper, we reported performance of a prototype system using a commercially available bronchoscope having an outer diameter of 5 mm with a biopsy channel. A discharging system for intermittent high-pressure saline jet was also constructed using a high-speed solenoid valve and a pressurizing tank. In this study, we tried to introduce a special hood (we call “Hemo-visor”) on the tip of the endoscope in order to more clearly observe the target (inner wall of artery). From in vitro tests using a mock circulation system, it was confirmed that the Hemo-visor was highly effective for keeping saline solution around the endoscope tip against the blood stream, and for improving the quality of the picture obtained.