Bharucha Apurva H, Moore John, Carnahan Patrick, MacCarthy Philip, Monaghan Mark J, Baghai Max, Deshpande Ranjit, Byrne Jonathan, Dworakowski Rafal, Eskandari Mehdi
The Cardiac Care Group, King's College Hospital, London, SE5 9RS, UK.
Robarts Research Institute, Western University, London, ON, Canada.
Echo Res Pract. 2023 Aug 2;10(1):12. doi: 10.1186/s44156-023-00024-x.
Mitral interventions remain technically challenging owing to the anatomical complexity and heterogeneity of mitral pathologies. As such, multi-disciplinary pre-procedural planning assisted by advanced cardiac imaging is pivotal to successful outcomes. Modern imaging techniques offer accurate 3D renderings of cardiac anatomy; however, users are required to derive a spatial understanding of complex mitral pathologies from a 2D projection thus generating an 'imaging gap' which limits procedural planning. Physical mitral modelling using 3D printing has the potential to bridge this gap and is increasingly being employed in conjunction with other transformative technologies to assess feasibility of intervention, direct prosthesis choice and avoid complications. Such platforms have also shown value in training and patient education. Despite important limitations, the pace of innovation and synergistic integration with other technologies is likely to ensure that 3D printing assumes a central role in the journey towards delivering personalised care for patients undergoing mitral valve interventions.
由于二尖瓣病变的解剖复杂性和异质性，二尖瓣介入治疗在技术上仍然具有挑战性。因此，在先进心脏成像技术辅助下的多学科术前规划对于取得成功的治疗结果至关重要。现代成像技术能够提供心脏解剖结构的精确三维图像；然而，用户需要从二维投影中获得对复杂二尖瓣病变的空间理解，从而产生了一个“成像差距”，这限制了手术规划。使用3D打印的物理二尖瓣模型有潜力弥合这一差距，并且越来越多地与其他变革性技术结合使用，以评估介入治疗的可行性、指导假体选择并避免并发症。这样的平台在培训和患者教育方面也显示出价值。尽管存在重要局限性，但创新的步伐以及与其他技术的协同整合可能会确保3D打印在为接受二尖瓣介入治疗的患者提供个性化护理的过程中发挥核心作用。
