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具有内部传感器的3D打印患者特异性主动脉根部模型,用于微创应用。

3D printed patient-specific aortic root models with internal sensors for minimally invasive applications.

作者信息

Haghiashtiani Ghazaleh, Qiu Kaiyan, Zhingre Sanchez Jorge D, Fuenning Zachary J, Nair Priya, Ahlberg Sarah E, Iaizzo Paul A, McAlpine Michael C

机构信息

Department of Mechanical Engineering, University of Minnesota, Minneapolis, MN 55455, USA.

Department of Biomedical Engineering, University of Minnesota, Minneapolis, MN 55455, USA.

出版信息

Sci Adv. 2020 Aug 28;6(35):eabb4641. doi: 10.1126/sciadv.abb4641. eCollection 2020 Aug.

Abstract

Minimally invasive surgeries have numerous advantages, yet complications may arise from limited knowledge about the anatomical site targeted for the delivery of therapy. Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure for treating aortic stenosis. Here, we demonstrate multimaterial three-dimensional printing of patient-specific soft aortic root models with internally integrated electronic sensor arrays that can augment testing for TAVR preprocedural planning. We evaluated the efficacies of the models by comparing their geometric fidelities with postoperative data from patients, as well as their in vitro hemodynamic performances in cases with and without leaflet calcifications. Furthermore, we demonstrated that internal sensor arrays can facilitate the optimization of bioprosthetic valve selections and in vitro placements via mapping of the pressures applied on the critical regions of the aortic anatomies. These models may pave exciting avenues for mitigating the risks of postoperative complications and facilitating the development of next-generation medical devices.

摘要

微创手术有诸多优点,但由于对治疗靶点解剖部位的了解有限,可能会出现并发症。经导管主动脉瓣置换术(TAVR)是一种治疗主动脉瓣狭窄的微创手术。在此,我们展示了具有内部集成电子传感器阵列的患者特异性软质主动脉根部模型的多材料三维打印,该模型可增强TAVR术前规划的测试。我们通过将模型的几何保真度与患者术后数据进行比较,以及评估有无瓣叶钙化情况下的体外血流动力学性能,来评估模型的有效性。此外,我们证明内部传感器阵列可通过绘制施加在主动脉解剖关键区域的压力,促进生物人工瓣膜选择和体外放置的优化。这些模型可能为降低术后并发症风险和推动下一代医疗设备的发展开辟令人兴奋的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91de/7455187/80ec8624d98f/abb4641-F1.jpg

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