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心血管三维打印在经导管主动脉瓣置换术中的应用

Application of cardiovascular 3-dimensional printing in Transcatheter aortic valve replacement.

作者信息

Ma Yanyan, Mao Yu, Zhu Guangyu, Yang Jian

机构信息

Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China.

School of Energy and Power Engineering, Xi'an Jiaotong University, Xi'an, China.

出版信息

Cell Regen. 2022 Sep 19;11(1):35. doi: 10.1186/s13619-022-00129-4.

Abstract

Transcatheter aortic valve replacement (TAVR) has been performed for nearly 20 years, with reliable safety and efficacy in moderate- to high-risk patients with aortic stenosis or regurgitation, with the advantage of less trauma and better prognosis than traditional open surgery. However, because surgeons have not been able to obtain a full view of the aortic root, 3-dimensional printing has been used to reconstruct the aortic root so that they could clearly and intuitively understand the specific anatomical structure. In addition, the 3D printed model has been used for the in vitro simulation of the planned procedures to predict the potential complications of TAVR, the goal being to provide guidance to reasonably plan the procedure to achieve the best outcome. Postprocedural 3D printing can be used to understand the depth, shape, and distribution of the stent. Cardiovascular 3D printing has achieved remarkable results in TAVR and has a great potential.

摘要

经导管主动脉瓣置换术(TAVR)已开展近20年,对于中高危主动脉狭窄或反流患者具有可靠的安全性和有效性,与传统开胸手术相比具有创伤小、预后好的优势。然而,由于外科医生无法全面观察主动脉根部,3D打印技术已被用于重建主动脉根部,以便他们能够清晰直观地了解具体解剖结构。此外,3D打印模型已用于体外模拟计划中的手术,以预测TAVR的潜在并发症,目的是为合理规划手术提供指导,以实现最佳效果。术后3D打印可用于了解支架的深度、形状和分布。心血管3D打印在TAVR中已取得显著成果,具有巨大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e60/9485371/c479c7c3c892/13619_2022_129_Fig1_HTML.jpg

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