Three-Dimensional Printing in Minimally Invasive Cardiac Surgery: Optimizing Surgical Planning and Education with Life-Like Models

Montanhesi, Paola Keese; Coelho, Giselle; Curcio, Sergio Augusto Fudaba; Poffo, Robinson

doi:10.21470/1678-9741-2020-0409

Cited by 7 publications

(6 citation statements)

References 59 publications

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“…Emerging technologies are expected to enhance the precision and effectiveness of BAV repair. The application of three-dimensional (3D) printing and virtual surgical planning, especially in uncommon and high-risk situation, can help surgeons create patient-specific models and simulate complex procedures preoperatively, thereby improving surgical accuracy and reducing operative time ( 34 ). Additionally, the use of advanced imaging, such as transesophageal echocardiography (TEE) and four-dimensional cardiovascular magnetic resonance flow imaging (4D Flow CMR), can provide detailed and accurate evaluation of BAVs, leading to better surgical planning and outcomes ( 35 ).…”

Section: Future Perspectivesmentioning

confidence: 99%

Bicuspid aortic valve repair—current techniques, outcomes, challenges, and future perspectives

Zhang

2024

Front. Cardiovasc. Med.

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Bicuspid aortic valve (BAV) is a common congenital heart condition that can lead to some valve-related complications, such as aortic stenosis and/or regurgitation, and is often associated with aortic root dilation. With the development and refinement of BAV repair techniques over the past three decades, surgical repair of BAV has emerged as an effective treatment option, offering symptomatic relief and improved outcomes. This review aims to summarize the current techniques, outcomes, and challenges of BAV repair, and to provide potential future perspectives in the field.

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Section: Future Perspectivesmentioning

confidence: 99%

Bicuspid aortic valve repair—current techniques, outcomes, challenges, and future perspectives

Zhang

2024

Front. Cardiovasc. Med.

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“…(c) Precision surgical models The use of digital technologies such as computer-aided designing and manufacturing helps in scanning the defect site and manufacturing a surgical model utilizing 3D printing for enabling the surgeons to plan the surgery effectively and efficiently [ 92 ].…”

Section: Developments In Bio and Allied Technologies Toward Digital H...mentioning

confidence: 99%

Digital health: trends, opportunities and challenges in medical devices, pharma and bio-technology

Kasoju

Sasi

et al. 2023

CSIT

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Digital health interventions refer to the use of digital technology and connected devices to improve health outcomes and healthcare delivery. This includes telemedicine, electronic health records, wearable devices, mobile health applications, and other forms of digital health technology. To this end, several research and developmental activities in various fields are gaining momentum. For instance, in the medical devices sector, several smart biomedical materials and medical devices that are digitally enabled are rapidly being developed and introduced into clinical settings. In the pharma and allied sectors, digital health-focused technologies are widely being used through various stages of drug development, viz. computer-aided drug design, computational modeling for predictive toxicology, and big data analytics for clinical trial management. In the biotechnology and bioengineering fields, investigations are rapidly growing focus on digital health, such as omics biology, synthetic biology, systems biology, big data and personalized medicine. Though digital health-focused innovations are expanding the horizons of health in diverse ways, here the development in the fields of medical devices, pharmaceutical technologies and biotech sectors, with emphasis on trends, opportunities and challenges are reviewed. A perspective on the use of digital health in the Indian context is also included.

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“…Indeed, the era of the “one size fits all” approach in cardiac surgery has now been overtaken by precision medicine and tailored surgery. New technologies such as virtual reality ( 82 ) and 3D printing ( 83 ) can further assist in surgical planning. Hereafter the different options for surgical approach according to different cardiac conditions are presented ( Table 3 ).…”

Section: Intraoperative Choices For Frail Patients: the Right Strateg...mentioning

confidence: 99%

The frail patient undergoing cardiac surgery: lessons learned and future perspectives

Pozzi,

Mariani,

Scanziani

et al. 2023

Front. Cardiovasc. Med.

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Frailty is a geriatric condition characterized by the reduction of the individual's homeostatic reserves. It determines an increased vulnerability to endogenous and exogenous stressors and can lead to poor outcomes. It is an emerging concept in perioperative medicine, since an increasing number of patients undergoing surgical interventions are older and the traditional models of care seem to be inadequate to satisfy these patients' emerging clinical needs. Nowadays, the progressive technical and clinical improvements allow to offer cardiac operations to an older, sicker and frail population. For these reasons, a multidisciplinary team involving cardiac surgeons, clinical cardiologists, anesthesiologists, and geriatricians, is often needed to assess, select and provide tailored care to these high-risk frail patients to optimize clinical outcomes. There is unanimous agreement that frailty assessment may capture the individual's biological decline and the heterogeneity in risk profile for poor health-related outcomes among people of the same age. However, since commonly used preoperative scores for cardiac surgery fail to capture frailty, a specific preoperative assessment with dedicated tools is warranted to correctly recognize, measure and quantify frailty in these patients. On the contrary, pre-operative and post-operative interventions can reduce the risk of complications and support patient recovery promoting surgical resilience. Minimally invasive cardiac procedures aim to reduce surgical trauma and may be associated with better clinical outcome in this specific sub-group of high-risk patients. Among postoperative adverse events, the occurrence of delirium represents a risk factor for several unfavorable outcomes including mortality and subsequent cognitive decline. Its presence should be carefully recognized, triggering an adequate, evidence based, treatment. There is evidence, from several cross-section and longitudinal studies, that frailty and delirium may frequently overlap, with frailty serving both as a predisposing factor and as an outcome of delirium and delirium being a marker of a latent condition of frailty. In conclusion, frail patients are at increased risk to experience poor outcome after cardiac surgery. A multidisciplinary approach aimed to recognize more vulnerable individuals, optimize pre-operative conditions, reduce surgical invasivity and improve post-operative recovery is required to obtain optimal long-term outcome.

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Three-Dimensional Printing in Minimally Invasive Cardiac Surgery: Optimizing Surgical Planning and Education with Life-Like Models

Cited by 7 publications

References 59 publications

Bicuspid aortic valve repair—current techniques, outcomes, challenges, and future perspectives

Bicuspid aortic valve repair—current techniques, outcomes, challenges, and future perspectives

Digital health: trends, opportunities and challenges in medical devices, pharma and bio-technology

The frail patient undergoing cardiac surgery: lessons learned and future perspectives

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