Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Department of Surgery, Division of Cardiac Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
J Cardiothorac Vasc Anesth. 2019 May;33(5):1442-1446. doi: 10.1053/j.jvca.2018.08.011. Epub 2018 Aug 9.
Fenestrated endovascular aortic repair (FEVAR) stent grafting is a minimally invasive procedure and an alternative to open surgical repair for abdominal aortic aneurysm repair, particularly with unideal neck anatomy. Planning and implementing a custom FEVAR graft is complicated, requiring advanced training and years of practice. As such, a method for creating a patient-specific, to-scale, cost-effective, 3-dimensional abdominal aortic aneurysm model for use in preoperative planning is presented. The model can be used to help physicians create custom FEVAR grafts, thus eliminating the currently used difficult and technical method for creating custom grafts. It also can assist physicians in visualizing and practicing their surgical approach for a specific patient.
开窗型血管内主动脉修复术(FEVAR)支架移植是一种微创程序,也是治疗腹主动脉瘤的一种替代开放性手术修复方法,尤其适用于不理想的颈部解剖结构。定制 FEVAR 移植物的规划和实施较为复杂,需要先进的培训和多年的实践经验。因此,本文提出了一种创建用于术前规划的患者特异性、比例准确、具有成本效益的 3 维腹主动脉瘤模型的方法。该模型可用于帮助医生创建定制的 FEVAR 移植物,从而消除目前用于创建定制移植物的困难和技术方法。它还可以帮助医生为特定患者可视化和练习他们的手术方法。