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Application of 3D printing in the surgical planning of hypertrophic obstructive cardiomyopathy and physician-patient communication: a preliminary study

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机构: [1]Department of Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100000, China [2]Department of Cardiac Surgery, Affiliated Hospital of Hebei University, Baoding 071000, China
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关键词: Heart model hypertrophic cardiomyopathy 3D printing myectomy

摘要:
Background: The aim of this study was to evaluate the effect of 3-dimensional (3D) printing in treatment of hypertrophic obstructive cardiomyopathy (HOCM) and its roles in doctor-patient communication. Methods: 3D-printed models were constructed preoperatively and postoperatively in seven HOCM patients received surgical treatment. Based on multi-slice computed tomography (CT) images, regions of disorder were segmented using the Mimics 19.0 software (Materialise, Leuven, Belgium). After generating an STL-file (StereoLithography file) with patients' data, the 3D printer (Objet350 Connex3, Stratasys Ltd., USA) created a 3D model. The pre- and post-operative 3D-printed models were used to make the surgical plan preoperatively and evaluate the outcome postoperatively. Meanwhile, a questionnaire was designed for patients and their relatives to learn the effectiveness of the 3D-printed prototypes in the preoperative conversations. Results: The heart anatomies were accurately printed with 3D technology. The 3D-printed prototypes were useful for preoperative evaluation, surgical planning, and practice. Preoperative and postoperative echocardiographic evaluation showed left ventricular outflow tract (LVOT) obstruction was adequately relieved (82.71 +/- 31.63 to 14.91 +/- 6.89 mmHg, P<0.001), the septal thickness was reduced from 21.57 +/- 4.65 to 17.42 +/- 5.88 mm (P<0.001), and the SAM disappeared completely after the operation. Patients highly appreciated the role of 3D model in preoperative conversations and the communication score was 9.11 +/- 0.38 points. Conclusions: A 3D-printed model is a useful tool in individualized planning for myectomies and represent a useful tool for physician-patient communication.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 呼吸系统
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 呼吸系统
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出版当年[2016]版:
Q3 RESPIRATORY SYSTEM
最新[2023]版:
Q3 RESPIRATORY SYSTEM

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Department of Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100000, China
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通讯机构: [1]Department of Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100000, China [*1]Department of Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
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