Utilisation of a three-dimensional printed model for the management of coronary-pulmonary artery fistula from left main coronary artery

Misra, Amrit; Walters, Henry L.; Kobayashi, Daisuke

doi:10.1017/s1047951118002317

Cited by 15 publications

(12 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Use of 3D printed models in coronary artery disease (CAD) is mainly shown to guide treatment of complex coronary anomalies and this is dominated by case reports in the literature [54][55][56][57]. These isolated case reports showed the usefulness of 3D printed coronary models to simulate interventional coronary procedures, plan and guide treatment strategy of complex coronary disease.…”

Section: D Printing In Coronary Artery Diseasementioning

confidence: 99%

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

Sun

2020

Biomolecules

View full text Add to dashboard Cite

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.

show abstract

Section: D Printing In Coronary Artery Diseasementioning

confidence: 99%

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

Sun

2020

Biomolecules

View full text Add to dashboard Cite

show abstract

“…The current study represents the first study that aims to address the gap in the existing literature, and our results confirm the potential application of simulating heavy calcification in the coronary arteries using the 3D printing technique. Three-dimensional- printed coronary models are reported in several studies, primarily focusing on education of understanding complex anatomic structures and in guiding interventional procedures to improve treatment outcomes [ 46 , 47 , 48 , 49 , 50 ]. To the best of our knowledge, no report is available about using 3D-printed coronary models to simulate high calcification.…”

Section: Discussionmentioning

confidence: 99%

3D-Printed Coronary Plaques to Simulate High Calcification in the Coronary Arteries for Investigation of Blooming Artifacts

Sun

Wong

et al. 2021

Biomolecules

View full text Add to dashboard Cite

The diagnostic value of coronary computed tomography angiography (CCTA) is significantly affected by high calcification in the coronary arteries owing to blooming artifacts limiting its accuracy in assessing the calcified plaques. This study aimed to simulate highly calcified plaques in 3D-printed coronary models. A combination of silicone + 32.8% calcium carbonate was found to produce 800 HU, representing extensive calcification. Six patient-specific coronary artery models were printed using the photosensitive polyurethane resin and a total of 22 calcified plaques with diameters ranging from 1 to 4 mm were inserted into different segments of these 3D-printed coronary models. The coronary models were scanned on a 192-slice CT scanner with 70 kV, pitch of 1.4, and slice thickness of 1 mm. Plaque attenuation was measured between 1100 and 1400 HU. Both maximum-intensity projection (MIP) and volume rendering (VR) images (wide and narrow window widths) were generated for measuring the diameters of these calcified plaques. An overestimation of plaque diameters was noticed on both MIP and VR images, with measurements on the MIP images close to those of the actual plaque sizes (<10% deviation), and a large measurement discrepancy observed on the VR images (up to 50% overestimation). This study proves the feasibility of simulating extensive calcification in coronary arteries using a 3D printing technique to develop calcified plaques and generate 3D-printed coronary models.

show abstract

“…Several authors assess the feasibility of 3D printed models for studying coronary arterial flow dynamics, but the results were not directly applied to patient care [ 22 – 27 ]. There are several published case reports of 3D printed models used in procedural planning for coronary artery aneurysm and fistula repair [ 33 – 36 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination: adult cardiac conditions

et al. 2020

View full text Add to dashboard Cite

Background Medical 3D printing as a component of care for adults with cardiovascular diseases has expanded dramatically. A writing group composed of the Radiological Society of North America (RSNA) Special Interest Group on 3D Printing (SIG) provides appropriateness criteria for adult cardiac 3D printing indications. Methods A structured literature search was conducted to identify all relevant articles using 3D printing technology associated with a number of adult cardiac indications, physiologic, and pathologic processes. Each study was vetted by the authors and graded according to published guidelines. Results Evidence-based appropriateness guidelines are provided for the following areas in adult cardiac care; cardiac fundamentals, perioperative and intraoperative care, coronary disease and ischemic heart disease, complications of myocardial infarction, valve disease, cardiac arrhythmias, cardiac neoplasm, cardiac transplant and mechanical circulatory support, heart failure, preventative cardiology, cardiac and pericardial disease and cardiac trauma. Conclusions Adoption of common clinical standards regarding appropriate use, information and material management, and quality control are needed to ensure the greatest possible clinical benefit from 3D printing. This consensus guideline document, created by the members of the RSNA 3D printing Special Interest Group, will provide a reference for clinical standards of 3D printing for adult cardiac indications.

show abstract

Utilisation of a three-dimensional printed model for the management of coronary-pulmonary artery fistula from left main coronary artery

Cited by 15 publications

References 5 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

3D-Printed Coronary Plaques to Simulate High Calcification in the Coronary Arteries for Investigation of Blooming Artifacts

Clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination: adult cardiac conditions

Contact Info

Product

Resources

About