Feasibility of the application of holographic augmented reality in endovascular surgery using Microsoft HoloLens head-mounted display.

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Advances in virtual, augmented (AR) and mixed reality have led to the development of wearable technologies including head mounted displays (HMD). The aim of this study was to investigate the feasibility to use HMD during endovascular surgery.We propose an adaptation of AR-HMD using Microsoft HoloLens. Software were developed to enable visualization of the vascular system during endovascular procedures. A video was performed to present an overview of the device and show its use in real- conditions.The device allowed a successful visualization of peri-operative angiography during peripheral angioplasty, carotid angioplasty and aortic aneurysm endovascular repair. The device was operated on voice command, preserving the environment sterility.This video illustrated the feasibility of the application of holographic AR during endovascular intervention and brings perspectives to use artificial-intelligence derived tools for image-guided surgery.

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Authors: Claude Mialhe, Arindam Chaudhuri, Juliette Raffort, Fabien Lareyre