Clinical application of three-dimensional printing to the management of complex univentricular hearts with abnormal systemic or pulmonary venous drainage

McGovern, Eiméar; Kelleher, Eoin; Snow, Aisling; Walsh, Kevin; Gadallah, Bassem; Kutty, Shelby; Redmond, John M.; McMahon, Colin J.

doi:10.1017/s104795111600281x

Cited by 17 publications

(14 citation statements)

References 20 publications

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“…In patients with single-ventricle and other complex CHDs, three-dimensional (3D) printing has been utilized in some of the most difficult scenarios (62,63). It provides the spatial orientation to potentially improve preoperative planning.…”

Section: Future Directionsmentioning

confidence: 99%

An overview of mechanical circulatory support in single-ventricle patients

et al. 2018

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The population of people with a single-ventricle is continually increasing due to improvements across the spectrum of medical care. Unfortunately, a proportion of these patients will develop heart failure.Often, for these patients, mechanical circulatory support (MCS) represents the only available treatment option. While single-ventricle patients currently represent a small proportion of the total number of patients who receive MCS, as the single-ventricle patient population increases, this number will increase as well.Outcomes for these complex single-ventricle patients who require MCS has begun to be evaluated. When considering the entire population, survival to hospital discharge is 30-50%, though this must be considered with the significant heterogeneity of the single-ventricle patient population. Patients with a single-ventricle have unique anatomy, mechanisms of failure, indications for MCS and the type of support utilized. This has made the interpretation and the generalizability of the limited available data difficult. It is likely that some subsets will have a significantly worse prognosis and others a better one. Unfortunately, with these limited data, indications of a favorable or poor outcome have not yet been elucidated. Though currently, a database has been constructed to address this issue. While the outcomes for these complex patients is unclear, at least in some situations, they are poor. However, significant advances may provide improvements going forward, including new devices, computer simulations and 3D printed models. The most important factor, however, will be the increased experience gained by the heart failure team to improve patient selection, timing, device and configuration selection and operative approach.

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Section: Future Directionsmentioning

confidence: 99%

An overview of mechanical circulatory support in single-ventricle patients

et al. 2018

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“…Al realizar una búsqueda en Pubmed con los términos: "3D printing AND surgical AND planning" se encuentran 363 artículos (al 6 de diciembre del 2017), con un incremento exponencial en el número de publicaciones en los últimos años: La mayoría de los trabajos hacen referencia a su uso en cirugía e intervencionismo cardíaco [4,[15][16][17][18][19][20][21], pero provienen de práctica-mente todas las especialidades quirúrgicas, incluso varios artículos reportan su empleo y beneficios para planificar la separación de siameses [6,40,42].…”

Section: Caso Clínico: Uso De Biomodelos Tridimensionales Para La Plaunclassified

“…En la actualidad son muchas las ramas quirúrgicas que se están beneficiando de las tecnologías de impresión 3D con estos fines alrededor del mundo, entre ellas neurocirugía [5,[8][9][10][11][12][13][14], cirugía cardíaca [4,[15][16][17][18][19][20][21], ortopédica [22][23][24][25][26][27], maxilofacial [28][29][30][31], otorrinolaringología [32][33][34], cirugía hepática [35][36][37], urológica [3,38,39], pediátrica [6,[40][41][42], ginecológica [43,44], plástica [45], torácica [46], cirugía general [47].…”

Section: Introductionunclassified

Caso Clínico: Uso de Biomodelos Tridimensionales para la Planificación Preoperatoria de Tumores Craneales Fronto - orbitarios

et al. 2017

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“…Three-dimensional (3D) printing of anatomical models has shown to resolve the shortcomings of current visualization techniques [2,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30]. It exploits the information from medical datasets and converts them into patient-specific 3D models that can be tangibly manipulated.…”

Section: Introductionmentioning

confidence: 99%

Dimensional Accuracy and Clinical Value of 3D Printed Models in Congenital Heart Disease: A Systematic Review and Meta-Analysis

Lau

Sun

2019

JCM

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The aim of this paper is to summarize and evaluate results from existing studies on accuracy and clinical value of three-dimensional printed heart models (3DPHM) for determining whether 3D printing can significantly improve on how the congenital heart disease (CHD) is managed in current clinical practice. Proquest, Google Scholar, Scopus, PubMed, and Medline were searched for relevant studies until April 2019. Two independent reviewers performed manual data extraction and assessed the risk of bias of the studies using the tools published on National Institutes of Health (NIH) website. The following data were extracted from the studies: author, year of publication, study design, imaging modality, segmentation software, utility of 3DPHM, CHD types, and dimensional accuracy. R software was used for the meta-analysis. Twenty-four articles met the inclusion criteria and were included in the systematic review. However, only 7 studies met the statistical requirements and were eligible for meta-analysis. Cochran’s Q test demonstrated significant variation among the studies for both of the meta-analyses of accuracy of 3DPHM and the utility of 3DPHM in medical education. Analysis of all included studies reported the mean deviation between the 3DPHM and the medical images is not significant, implying that 3DPHM are highly accurate. As for the utility of the 3DPHM, it is reported in all relevant studies that the 3DPHM improve the learning experience and satisfaction among the users, and play a critical role in facilitating surgical planning of complex CHD cases. 3DPHM have the potential to enhance communication in medical practice, however their clinical value remains debatable. More studies are required to yield a more meaningful meta-analysis.

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Clinical application of three-dimensional printing to the management of complex univentricular hearts with abnormal systemic or pulmonary venous drainage

Cited by 17 publications

References 20 publications

An overview of mechanical circulatory support in single-ventricle patients

An overview of mechanical circulatory support in single-ventricle patients

Caso Clínico: Uso de Biomodelos Tridimensionales para la Planificación Preoperatoria de Tumores Craneales Fronto - orbitarios

Dimensional Accuracy and Clinical Value of 3D Printed Models in Congenital Heart Disease: A Systematic Review and Meta-Analysis

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