RT Journal Article
T1 Three-dimensional printed models for surgical planning of complex congenital heart defects: an international multicentre study.
A1 Valverde, Israel
A1 Gomez-Ciriza, Gorka
A1 Hussain, Tarique
A1 Suarez-Mejias, Cristina
A1 Velasco-Forte, Maria N
A1 Byrne, Nicholas
A1 Ordoñez, Antonio
A1 Gonzalez-Calle, Antonio
A1 Anderson, David
A1 Hazekamp, Mark G
A1 Roest, Arno A W
A1 Rivas-Gonzalez, Jose
A1 Uribe, Sergio
A1 El-Rassi, Issam
A1 Simpson, John
A1 Miller, Owen
A1 Ruiz, Enrique
A1 Zabala, Ignacio
A1 Mendez, Ana
A1 Manso, Begoña
A1 Gallego, Pastora
A1 Prada, Freddy
A1 Cantinotti, Massimiliano
A1 Ait-Ali, Lamia
A1 Merino, Carlos
A1 Parry, Andrew
A1 Poirier, Nancy
A1 Greil, Gerald
A1 Razavi, Reza
A1 Gomez-Cia, Tomas
A1 Hosseinpour, Amir-Reza
K1 3D printing
K1 Congenital heart defects
K1 Imaging
K1 Medical computer-aided design
K1 Surgery
AB To evaluate the impact of 3D printed models (3D models) on surgical planning in complex congenital heart disease (CHD). A prospective case-crossover study involving 10 international centres and 40 patients with complex CHD (median age 3 years, range 1 month-34 years) was conducted. Magnetic resonance imaging and computed tomography were used to acquire and segment the 3D cardiovascular anatomy. Models were fabricated by fused deposition modelling of polyurethane filament, and dimensions were compared with medical images. Decisions after the evaluation of routine clinical images were compared with those after inspection of the 3D model and intraoperative findings. Subjective satisfaction questionnaire was provided. 3D models accurately replicate anatomy with a mean bias of -0.27 ± 0.73 mm. Ninety-six percent of the surgeons agree or strongly agree that 3D models provided better understanding of CHD morphology and improved surgical planning. 3D models changed the surgical decision in 19 of the 40 cases. Consideration of a 3D model refined the planned biventricular repair, achieving an improved surgical correction in 8 cases. In 4 cases initially considered for conservative management or univentricular palliation, inspection of the 3D model enabled successful biventricular repair. 3D models are accurate replicas of the cardiovascular anatomy and improve the understanding of complex CHD. 3D models did not change the surgical decision in most of the cases (21 of 40 cases, 52.5% cases). However, in 19 of the 40 selected complex cases, 3D model helped redefining the surgical approach.
PB Oxford University Press
YR 2017
FD 2017-05-17
LK http://hdl.handle.net/10668/11647
UL http://hdl.handle.net/10668/11647
LA en
NO Valverde, I., Gomez-Ciriza, G., Hussain, T., Suarez-Mejias, C., Velasco-Forte, M. N., Byrne, N., et al. Three-dimensional printed models for surgical planning of complex congenital heart defects: an international multicentre study. European Journal Of Cardio-Thoracic Surgery, 52(6), 1139-1148.
NO This work was supported by the Institute of Health Carlos III—FIS research grant [PI14/00180] from the Spanish Ministry of Science and Innovation.
DS RISalud
RD Apr 7, 2025