T. Yambe et al., VIRTUAL PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY SYSTEM FOR AN EDUCATIONAL SUPPORT SYSTEM, Artificial organs, 22(8), 1998, pp. 710-713
With the increase of ischemic diseases of the circulatory system in Ja
pan, the necessity for cardiovascular intervention continues to increa
se. However, because intervention operations have been developed only
recently, the education system for the corresponding specialists in ou
r country has not been established yet. In this study, an intervention
educational support system using a virtual reality (VR) technique was
developed. Of course, intervention includes percutaneous transluminal
coronary angioplasty (PTCA). PTCA is an operation enlarging the steno
sis of the coronary artery with a balloon through a guide catheter. Th
e technique that lets the guide wire for the PTCA balloon cross the st
enosis is one of the most difficult. A simulation system for the manip
ulation of a torque device for the PTCA guide wire was developed with
this technology for VR. In virtual space, reconstitution of the 3-dime
nsional coronary artery with atherosclerosis was performed, and the vi
rtual PTCA system was produced experimentally. An interesting system w
as produced experimentally as a system for the training of doctors stu
dying to become interventional specialists. After the system was combi
ned with an Expert system for treating ischemic heart diseases, its us
efulness was steadily increased. With the development of more sophisti
cated VR methodology in the future, a PTCA training system without usi
ng a patient will be embodied.