Chick Jeffrey Forris Beecham, Reddy Shilpa N, Yu Alice C, Kelil Tatiana, Srinivasa Ravi N, Cooper Kyle J, Saad Wael E
Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, MI.
Radiology Associates of the Main Line, Division of Vascular and Interventional Radiology, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, PA.
Ann Vasc Surg. 2017 Aug;43:311.e15-311.e23. doi: 10.1016/j.avsg.2017.02.012. Epub 2017 May 11.
Type II Abernethy malformations, characterized by side-to-side portosystemic shunting with preserved intrahepatic portal venous system, have been treated with shunt closure surgically and endovascularly. Three-dimensional printing has been used to develop highly accurate patient-specific representations for surgical and endovascular planning and intervention. This innovation describes 3-dimensional printing to successfully close a flush-oriented type II Abernethy malformation with discrepant dimensions on computed tomography, conventional venography, and intravascular ultrasound, using a 12-mm Amplatzer atrial septal occluder device.
II型阿伯内西畸形的特征是肝内门静脉系统保留的左右侧门体分流,已通过手术和血管内方法进行分流闭合治疗。三维打印已被用于开发高度精确的患者特异性模型,用于手术和血管内规划及干预。本创新描述了使用三维打印,利用一个12毫米的Amplatzer房间隔封堵器装置,成功闭合了在计算机断层扫描、传统静脉造影和血管内超声上尺寸不一致的平流式II型阿伯内西畸形。