TY  - JOUR
TI  - Evaluation of 3D printing in planning, practicing, and training for
endovascular lower extremity arterial interventions
AB  - Background: In this study, we aimed to investigate the potential role
of 3D-printed physical and digital anatomical models in pre-procedural
planning, practice and training in lower extremity arterial interventions.
Methods: A total of 16 patients (9 males, 7 females; mean age: 72.1±1.5
years; range, 69 to 75 years) who underwent superficial femoral artery
balloon angioplasty between February 2016 and April 2019 were
retrospectively reviewed for vascular access site preference and balloon
sizing. Pre-procedural computed tomography volumetric images used
for diagnosis were analyzed and modeled with 3D printing. Procedural
and 3D-based data regarding the size of the balloon and deployment sites
and the severity of the stenosis were compared.
Results: Measurements obtained from 3D models manually and
segmentation images from software were similar (p>0.05). Both were
smaller than the actual size of balloons used (p<0.001). Stenosis
severity was similar with manual and software methods and both
were significantly lower than the reported quantitative angiographic
measurements (p<0.001). Vascular access site preference was changed
in five (31.2%) patients, when the model was simulated by a non-sterile
practice on 3D-printed physical models. The wire and catheter selection
differed in eight patients, while practicing with models.
Conclusion: The planning and practicing of lower extremity arterial
procedures with 3D models may reduce operator-dependent variables,
avoid unnecessary interventions, reduce endothelial damage, and
increase procedural success. The 3D-printed models may be used for
educational purposes for medical professionals.
AU  - Gocer, Hakan
AU  - Gurbuz, Hasan Alper
AU  - Naseri, Erdinc
AU  - Tunc, Osman
AU  - Durukan, Ahmet Baris
AU  - Ercan, Ertugrul
DO  - 10.5606/tgkdc.dergisi.2021.20478
PY  - 2021
JO  - Türk Göğüs Kalp Damar Cerrahisi Dergisi
VL  - 29
IS  - 1
SN  - 1301-5680
SP  - 20
EP  - 26
DB  - TRDizin
UR  - http://search/yayin/detay/509394
ER  -