title: A novel vacuum device for extremity immobilisation during digital angiography: preliminary clinical experiences.
abstract: Our objective was to develop and evaluate a non-invasive device for rigid immobilisation during extremity angiography. The patented BodyFix immobilisation device (Medical Intelligence, Schwabmünchen, Germany) consists of a vacuum pump connected to special cushions and a plastic foil that covers the body part to be immobilised. First, the patient's extremity is covered by a thin plastic bag and then wrapped in one of the cushions, placed on the top of the therapy couch, and covered with the plastic foil. The air is evacuated from the cushion under the covering foil by the vacuum pump, resulting a hardening of the cushion and thus immobilisation of the patient's extremity. The rigid immobilisation resulted in a complete absence of motion artefacts in the majority of patients. No pixeling of the images was required in any of the 100 patients vs 32% in the control group. Repetition of series could be avoided in all cases and a substantial increase in the quality of the images was obtained. Setup of the device takes an additional 1-2 min. Vacuum immobilisation allows for comfortable, effective immobilisation during digital subtraction angiography, eliminating motion artefacts. This device has become an indispensable tool in daily clinical routine at our department.
authors.affiliation: Department of Radiology, Interdisciplinary Stereotactic Intervention- and Planning Laboratory (SIPLab), University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. reto.bale@uibk.ac.at
authors.forename: R J
authors.initials: RJ
authors.lastname: Bale
authors.forename: C
authors.initials: C
authors.lastname: Lottersberger
authors.forename: M
authors.initials: M
authors.lastname: Vogele
authors.forename: A
authors.initials: A
authors.lastname: Prassl
authors.forename: B
authors.initials: B
authors.lastname: Czermak
authors.forename: A
authors.initials: A
authors.lastname: Dessl
authors.forename: R A
authors.initials: RA
authors.lastname: Sweeney
authors.forename: P
authors.initials: P
authors.lastname: Waldenberger
authors.forename: W
authors.initials: W
authors.lastname: Jaschke
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016477:Artifacts; D003287:Contrast Media / Q000008:administration & dosage; D004867:Equipment Design / Q000191:economics / Q000295:instrumentation; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007103:Immobilization / Q000502:physiology*; D035002:Lower Extremity / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices / Q000191:economics; D010146:Pain / Q000209:etiology; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D011856:Radiographic Image Enhancement / Q000191:economics / Q000295:instrumentation*; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014618:Vacuum
chemical_list: D003287:Contrast Media