Simulation of Endovascular Aortic Repair Using 3D Printed Abdominal Aortic Aneurysm Model and Fluid Pump

Kärkkäinen, Jussi M.; Sandri, Giuliano A.; Tenorio, Emanuel R.; Alexander, Amy E.; Bjellum, Karen; Matsumoto, Jane M.; Morris, Jonathan M.; Mendes, Bernardo C.; DeMartino, Randall R.; Oderich, Gustavo S.

doi:10.1007/s00270-019-02257-y

Cited by 35 publications

(32 citation statements)

References 14 publications

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“…All experienced trainees completed the procedures independently and in less than 45 min, in contrast, only two of the less experienced trainees completed the entire procedures independently and six out of 13 completed the procedures in less than 45 min. This study presents another opportunity of using 3D printed aorta models for simulation and training of surgical procedures [76]. Karkkainen and colleagues created a realistic 3D printed AAA model for simulation of endovascular aneurysm repair by surgical trainees with different experiences [76].…”

Section: D Printing In Aortic Aneurysm and Aortic Dissectionmentioning

confidence: 99%

“…This study presents another opportunity of using 3D printed aorta models for simulation and training of surgical procedures [76]. Karkkainen and colleagues created a realistic 3D printed AAA model for simulation of endovascular aneurysm repair by surgical trainees with different experiences [76]. Their 3D printed AAA model consists of three layers: inner rigid layer and soft flexible outer layer with each having 3 mm thickness and the thin 1 mm inside layer covering the rigid one.…”

Section: D Printing In Aortic Aneurysm and Aortic Dissectionmentioning

confidence: 99%

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Clinical Applications of Patient-Specific 3D Printed Models in Cardiovascular Disease: Current Status and Future Directions

Sun

2020

Biomolecules

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Three-dimensional (3D) printing has been increasingly used in medicine with applications in many different fields ranging from orthopaedics and tumours to cardiovascular disease. Realistic 3D models can be printed with different materials to replicate anatomical structures and pathologies with high accuracy. 3D printed models generated from medical imaging data acquired with computed tomography, magnetic resonance imaging or ultrasound augment the understanding of complex anatomy and pathology, assist preoperative planning and simulate surgical or interventional procedures to achieve precision medicine for improvement of treatment outcomes, train young or junior doctors to gain their confidence in patient management and provide medical education to medical students or healthcare professionals as an effective training tool. This article provides an overview of patient-specific 3D printed models with a focus on the applications in cardiovascular disease including: 3D printed models in congenital heart disease, coronary artery disease, pulmonary embolism, aortic aneurysm and aortic dissection, and aortic valvular disease. Clinical value of the patient-specific 3D printed models in these areas is presented based on the current literature, while limitations and future research in 3D printing including bioprinting of cardiovascular disease are highlighted.

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Section: D Printing In Aortic Aneurysm and Aortic Dissectionmentioning

confidence: 99%

Section: D Printing In Aortic Aneurysm and Aortic Dissectionmentioning

confidence: 99%

Clinical Applications of Patient-Specific 3D Printed Models in Cardiovascular Disease: Current Status and Future Directions

Sun

2020

Biomolecules

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“…Vascular surgery and anesthesiology were mentioned in three articles each [46,47,[60][61][62][63]. The vascular surgery articles focused on endovascular repair of aneurysms and needle puncture of the gluteal artery using 3D printed vascular models while the anesthesiology articles used 3D printed models to simulate fiberoptic bronchoscopy procedures, thoracic spinal needle insertion, and central venous access [46,47,[60][61][62][63]. Urology had a total of two articles where one of the articles featured interventional radiology trainees; however, this study did not meet the criteria of at least 50% IR trainee involvement [32,64].…”

Section: Resultsmentioning

confidence: 99%

“…All of the 19 excluded articles showed a general positive attitude toward 3D printed simulations where these models could be used for medical anatomy education as well as development of medical trainees' procedural skills [32,46,47,[53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68]. The majority of these articles, 17 articles, tested the 3D simulations with trainees further in their medical career such as residents, fellows, or attendings [32,46,47,53,55,[57][58][59][60][61][62][63][64][65][66][67][68]. The remaining two articles consisted of medical students and residents [54,56].…”

Section: Resultsmentioning

confidence: 99%

“…3D printed models have also facilitated groups of dental and surgical trainees in developing better preoperative plans [42,43]. They have been shown to improve simulator procedural performance among anesthesia residents [44] and reduce fluoroscopy and simulator procedural times on endovascular aortic procedures with vascular surgery residents [45][46][47].…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of three-dimensional printing for simulation training of interventional radiology trainees

Tenewitz

Hernandez

et al. 2021

3D Print Med

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Rationale and objectives Three-dimensional (3D) printing has been utilized as a means of producing high-quality simulation models for trainees in procedure-intensive or surgical subspecialties. However, less is known about its role for trainee education within interventional radiology (IR). Thus, the purpose of this review was to assess the state of current literature regarding the use of 3D printed simulation models in IR procedural simulation experiences. Materials and methods A literature query was conducted through April 2020 for articles discussing three-dimensional printing for simulations in PubMed, Embase, CINAHL, Web of Science, and the Cochrane library databases using key terms relating to 3D printing, radiology, simulation, training, and interventional radiology. Results We identified a scarcity of published sources, 4 total articles, that appraised the use of three-dimensional printing for simulation training in IR. While trainee feedback is generally supportive of the use of three-dimensional printing within the field, current applications utilizing 3D printed models are heterogeneous, reflecting a lack of best practices standards in the realm of medical education. Conclusions Presently available literature endorses the use of three-dimensional printing within interventional radiology as a teaching tool. Literature documenting the benefits of 3D printed models for IR simulation has the potential to expand within the field, as it offers a straightforward, sustainable, and reproducible means for hands-on training that ought to be standardized.

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Fabrication of Soft Transparent Patient‐Specific Vascular Models with Stereolithographic 3D printing and Thiol‐Based Photopolymerizable Coatings

Hosseinzadeh,

Bosques‐Palomo,

Carmona‐Arriaga

et al. 2024

Macromol. Rapid Commun.

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An ideal vascular phantom should be anatomically accurate, have mechanical properties as close as possible to the tissue, and be sufficiently transparent for ease of visualization. However, materials that enable the convergence of these characteristics have remained elusive. We report the fabrication of patient‐specific vascular phantoms with high anatomical fidelity and optical transparency, and mechanical properties close to those of vascular tissue. These final properties were achieved by 3D‐printing patient‐specific vascular models with commercial elastomeric acrylic‐based resins before coating with thiol‐based photopolymerizable resins. Ternary thiol‐ene‐acrylate chemistry was found optimal. A PETMP/allyl glycerol ether (AGE)/polyethylene glycol diacrylate (PEGDA) coating with a 30/70% AGE/PEGDA ratio applied on a flexible resin yielded elastic modulus, UTS and elongation of 3.41 MPa, 1.76 MPa and 63.2%, respectively, in range with the human aortic wall. The PETMP/AGE/PEGDA coating doubled the optical transmission from 40% to 80%, approaching the 88% of the benchmark silicone‐based elastomer. Higher transparency correlates with a decrease in surface roughness from 2000 to 90 nm after coating. Coated 3D‐printed anatomical replicas are showcased for pre‐procedural planning and medical training with good radio‐opacity and echogenicity. Thiol‐click chemistry coatings, as a surface treatment for elastomeric stereolithographic 3D‐printed objects, address inherent limitations of photopolymer‐based additive manufacturing.This article is protected by copyright. All rights reserved

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Simulation of Endovascular Aortic Repair Using 3D Printed Abdominal Aortic Aneurysm Model and Fluid Pump

Cited by 35 publications

References 14 publications

Clinical Applications of Patient-Specific 3D Printed Models in Cardiovascular Disease: Current Status and Future Directions

Clinical Applications of Patient-Specific 3D Printed Models in Cardiovascular Disease: Current Status and Future Directions

Systematic review of three-dimensional printing for simulation training of interventional radiology trainees

Fabrication of Soft Transparent Patient‐Specific Vascular Models with Stereolithographic 3D printing and Thiol‐Based Photopolymerizable Coatings

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