Derycke Lucie, Avril Stephane, Millon Antoine
Department of Cardio-Vascular and Vascular Surgery, Hôpital Européen Georges Pompidou, F-75015 Paris, France.
Centre CIS, Mines Saint-Etienne, Université Jean Monnet Saint-Etienne, INSERM, SAINBIOSE U1059, F-42023 Saint-Etienne, France.
J Clin Med. 2023 Jan 18;12(3):766. doi: 10.3390/jcm12030766.
The endovascular technique is used in the first line treatment in many complex aortic pathologies. Its clinical outcome is mostly determined by the appropriate selection of a stent-graft for a specific patient and the operator's experience. New tools are still needed to assist practitioners with decision making before and during procedures. For this purpose, numerical simulation enables the digital reproduction of an endovascular intervention with various degrees of accuracy. In this review, we introduce the basic principles and discuss the current literature regarding the use of numerical simulation for endovascular management of complex aortic diseases. Further, we give the future direction of everyday clinical applications, showing that numerical simulation is about to revolutionize how we plan and carry out endovascular interventions.
血管内技术被用于许多复杂主动脉病变的一线治疗。其临床结果主要取决于为特定患者合适地选择支架移植物以及操作者的经验。在手术前和手术过程中仍需要新的工具来协助从业者进行决策。为此，数值模拟能够以不同程度的准确性对血管内介入进行数字再现。在这篇综述中，我们介绍基本原理，并讨论关于数值模拟在复杂主动脉疾病血管内治疗中的应用的当前文献。此外，我们给出日常临床应用的未来方向，表明数值模拟即将彻底改变我们计划和实施血管内介入的方式。
