中国介入心脏病学杂志2024,Vol.32Issue(2) :116-120.DOI:10.3969/j.issn.1004-8812.2024.02.010

3D打印在冠状动脉梗阻风险患者经导管主动脉瓣置换术前评估中的应用2例

Application of 3D printing in the preoperative evaluation of transcatheter aortic valve replacement for patients at risk of coronary artery obstruction:two case reports

戴佳祁 王首正 朱达 潘湘斌
中国介入心脏病学杂志2024,Vol.32Issue(2) :116-120.DOI:10.3969/j.issn.1004-8812.2024.02.010

3D打印在冠状动脉梗阻风险患者经导管主动脉瓣置换术前评估中的应用2例

Application of 3D printing in the preoperative evaluation of transcatheter aortic valve replacement for patients at risk of coronary artery obstruction:two case reports

戴佳祁 1王首正 2朱达 1潘湘斌2
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作者信息

  • 1. 云南省阜外心血管病医院结构性心脏病中心,云南昆明 650102
  • 2. 国家心血管病中心北京协和医学院中国医学科学院阜外医院结构性心脏病中心,北京 100037
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摘要

经导管主动脉瓣置换术(TAVR)是目前治疗主动脉瓣疾病的主要策略之一,术前影像学评估对TAVR手术方案的制定和并发症发生风险的预防具有重要意义.不同于平面影像图像重建技术,3D打印技术的应用,可以精准呈现主动脉根部解剖结构,并通过体外模拟进一步评估TAVR手术风险及治疗策略,尤其是对于冠状动脉梗阻风险的评估及干预策略的制定.本文报道2例术前经3D打印主动脉根部解剖仿真模型并结合体外球囊扩张/瓣膜置入测试,评估及应对CT血管造影平面影像重建提示冠状动脉梗阻风险的TAVR患者.

Abstract

Transcatheter aortic valve replacement(TAVR)is currently one of the main therapeutic strategies for aortic valve disease.Preoperative imaging assessment is crucial for operation project planning and prevention of procedure-associated complications.Different from planar image reconstruction,3D printing technology can accurately depict the anatomical structure of the aortic root.It enables further assessment of operative risk and therapeutic strategy through in vitro simulation,especially for assessing the risk of coronary artery obstruction and planning interventional procedures.Here,we report on two patients who underwent a 3D printing aortic root anatomical simulation model,followed an by in vitro balloon dilatation/valve implantation test,to evaluate the risk of coronary artery obstruction suggested by CT angiography planar image reconstruction before TAVR.

关键词

经导管主动脉瓣置换术/主动脉瓣狭窄/冠状动脉梗阻/3D打印技术

Key words

Transcatheter aortic valve replacement/Aortic stenosis/Coronary artery obstruction/3D printing technology

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基金项目

国家重点研发计划(十四五)(2022YFC2503400)

云南省心血管系统疾病临床医学研究中心-重大心血管疾病诊治新技术研发项目(202102AA310002)

云南省科技重大专项(202302AA310045)

出版年

2024
中国介入心脏病学杂志
北京大学

中国介入心脏病学杂志

CSTPCDCSCD
影响因子:1.224
ISSN:1004-8812
参考文献量10
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