Personalized Three-Dimensional Printing and Echoguided Procedure Facilitate Single Device Closure for Multiple Atrial Septal Defects
Joint Authors
Zhang, Feng-Wen
Ou-Yang, Wen-Bin
Li, Ping
Fang, Fang
Qiu, Xu
Xu, Nan
Wang, Yan
Hu, Hai-Bo
Pan, Xiang-Bin
Source
Journal of Interventional Cardiology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-27
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
To evaluate the feasibility of using a single device to close multiple atrial septal defects (ASDs) under the guidance of transthoracic echocardiography (TTE) and with the aid of three-dimensional (3D) printing models.
Methods.
Sixty-two patients with multiple ASDs were retrospectively analyzed.
Thirty of these patients underwent TTE-guided closure (3D printing and TTE group) after a simulation of occlusion in 3D printing models.
The remaining 32 patients underwent ASD closure under fluoroscopic guidance (conventional group).
Closure status was assessed immediately and at 6 months after device closure.
Results.
Successful transcatheter closure with a single device was achieved in 26 patients in the 3D printing and TTE group and 27 patients in the conventional group.
Gender, age [18.8 ± 15.9 (3–51) years in the 3D printing and TTE group; 14.0 ± 11.6 (3–50) years in the conventional group], mean maximum distance between defects, prevalence of 3 atrial defects and large defect distance (defined as distance ≥7 mm), and occluder size used were similarly distributed between groups.
However, the 3D printing and TTE group had lower frequency of occluder replacement (3.8% vs 59.3%, p<0.0001), prevalence of mild residual shunts (defined as <5 mm) immediately (19.2% vs 44.4%, p<0.05) and at 6 months (7.7% vs 29.6%, p<0.05) after the procedure, and cost (32960.8 ± 2018.7 CNY vs 41019.9 ± 13758.2 CNY, p<0.01).
Conclusion.
The combination of the 3D printing technology and ultrasound-guided interventional procedure provides a reliable new therapeutic approach for multiple ASDs, especially for challenging cases with large defect distance.
American Psychological Association (APA)
Li, Ping& Fang, Fang& Qiu, Xu& Xu, Nan& Wang, Yan& Ou-Yang, Wen-Bin…[et al.]. 2020. Personalized Three-Dimensional Printing and Echoguided Procedure Facilitate Single Device Closure for Multiple Atrial Septal Defects. Journal of Interventional Cardiology،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1187754
Modern Language Association (MLA)
Li, Ping…[et al.]. Personalized Three-Dimensional Printing and Echoguided Procedure Facilitate Single Device Closure for Multiple Atrial Septal Defects. Journal of Interventional Cardiology No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1187754
American Medical Association (AMA)
Li, Ping& Fang, Fang& Qiu, Xu& Xu, Nan& Wang, Yan& Ou-Yang, Wen-Bin…[et al.]. Personalized Three-Dimensional Printing and Echoguided Procedure Facilitate Single Device Closure for Multiple Atrial Septal Defects. Journal of Interventional Cardiology. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1187754
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1187754