Pediatric Cardiology and GUCH Unit, Heart Hospital "G. Pasquinucci", National Research Council-Tuscany Foundation "G. Monasterio", Massa, Italy.
Radiodiagnostic Unit, Heart Hospital "G. Pasquinucci", National Research Council-Tuscany Foundation "G. Monasterio", Massa, Italy.
Catheter Cardiovasc Interv. 2022 Jan 1;99(1):140-144. doi: 10.1002/ccd.29937. Epub 2021 Aug 31.
Ascending aorta pseudoaneurysm (AAP) is a rare but life-threatening complication of atherosclerosis, endocarditis, chest trauma, transcatheter or cardio-thoracic procedures. Since surgical repair is burdened by high morbidity and mortality, percutaneous closure is nowadays considered a valuable cost-effective therapeutic alternative. Due to unpredictability and complexity of local anatomy, no standardized technique and device are advised. In this setting, 3D printing technology could significantly help in planning trans-catheter approach. This article reports on a 3D printed model-guided percutaneous closure of a huge AAP using an Amplatzer Septal Occluder (Abbott, Plymouth MN) implanted by the recently commercialized Amplatzer Trevisio Intravascular Delivery System.
升主动脉假性动脉瘤（AAP）是动脉粥样硬化、心内膜炎、胸部创伤、经导管或心胸手术的罕见但危及生命的并发症。由于手术修复的发病率和死亡率较高，经皮闭合术现在被认为是一种有价值的具有成本效益的治疗选择。由于局部解剖结构的不可预测性和复杂性，不建议采用标准化的技术和设备。在这种情况下，3D 打印技术可以极大地帮助规划经导管入路。本文报告了使用 3D 打印模型指导经皮闭合术治疗巨大 AAP 的病例，该病例使用了由最近商业化的 Amplatzer Trevisio 血管内输送系统植入的 Amplatzer 房间隔封堵器（雅培，明尼苏达州普利茅斯）。
