Structural and congenital heart disease interventions: the role of three-dimensional printing

“…It provides the spatial orientation to potentially improve preoperative planning. Further, it is a useful tool to aid communication with the patient and family, cardiologists and critical care team (64). It has shown utility in allowing for preoperative planning of inflow cannula placement when faced with the challenges of implanting a VAD into a systemic right ventricle (65).…”

Section: Future Directionsmentioning

confidence: 99%

An overview of mechanical circulatory support in single-ventricle patients

et al. 2018

View full text Add to dashboard Cite

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.

show abstract

“…50 Besides HI, there is an increased use of 3D printing of cardiac structures for pre-procedural interventional treatment planning. 51 …”

Section: Future Developmentsmentioning

confidence: 99%

3D Hybrid Imaging for Structural and Congenital Heart Interventions in the Cath Lab

Broek

Krings

et al. 2018

Structural Heart

View full text Add to dashboard Cite

Hybrid imaging (HI) during cardiovascular interventions enables the peri-procedural visualization of the organs and tissues by means of integrating different imaging modalities. HI can improve the procedural efficacy and safety. This review provides an overview of different systems, their possibilities and the current clinical use and benefits focused on structural and congenital heart diseases. We have performed a literature search and linked the software options to the clinical use in cardiology to gain insight into the clinical use of the systems. In this review, we focus on radiation and contrast exposure, complication rate and procedure time. We found that currently available studies are limited by small cohorts. Nevertheless, HI systems for valvular procedures result in a significant decrease of radiation and contrast exposure. The largest benefit hereof is observed when HI is used in combination with rotational angiography. Furthermore, automatically determined optimal implant angle for transcatheter aortic valve implantation decreases the complication rate significantly. Congenital heart disease interventions that require 2D/3D Transoesophageal echocardiography (TEE) such as septal defects show a significant decrease in radiation and contrast exposure and procedural time when using TEE-Mono-and bi-plane cine angiography and fluoroscopy (XRF) fusion software. MitraClip procedures using these HI systems, however, show only a trend in decrease of these effects. In conclusion, major interventional X-ray vendors offer HI software solutions which are safe and can aid the planning and image guidance of cardiovascular interventions. Even though current HI technologies have limitations, HI provides support in the increasingly complex cardiac interventional procedures to provide better patient care.

show abstract

Structural and congenital heart disease interventions: the role of three-dimensional printing

Cited by 62 publications

References 42 publications

Preliminary study of the application of transthoracic echocardiography‐guided three‐dimensional printing for the assessment of structural heart disease

Preliminary study of the application of transthoracic echocardiography‐guided three‐dimensional printing for the assessment of structural heart disease

An overview of mechanical circulatory support in single-ventricle patients

3D Hybrid Imaging for Structural and Congenital Heart Interventions in the Cath Lab

Contact Info

Product

Resources

About