3D Virtual modelling, 3D printing and extended reality for planning of implant procedure of short-term and long-term mechanical circulatory support devices and heart transplantation

Frontiers in Cardiovascular Medicine

Cardiovascular Medicine

Cristina Ybarra Falcón¹  Jordi Candela Ferre¹  Alexander Stepanenko²  Jose Alberto San Roman³  Carlos Baladron³  Enrique Pérez de la Sota⁴  Laura Maroto Perez⁵  Alfredo Redondo Diéguez⁶ 

[1] Cardiology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain;Cardiology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain;Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain;Cardiology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain;Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain;Vall3DLab, Hospital Clínico Universitario de Valladolid, Valladolid, Spain;Cardiovascular Surgery, Hospital 12 de Octubre, Madrid, Spain;Cardiovascular Surgery, Hospital Recoletas Campo Grande, Valladolid, Spain;Vall3DLab, Hospital Clínico Universitario de Valladolid, Valladolid, Spain;Cardiology Department, University Hospital of Santiago, Santiago de Compostela, Spain;

关键词: 3D printing;    virtual device implant;    ventricular assist device;    heart transplantation;    virtual reality;    augmented reality;   

DOI  :  10.3389/fcvm.2023.1191705

 received in 2023-03-22, accepted in 2023-06-19,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionThe use of three-dimensional (3D) reconstruction and printing technology, together with extended reality applied to advanced heart failure adult patients with complex anatomy, is rapidly spreading in clinical practice. We report practical experience with application to acute and chronic heart failure: planning and performing mechanical circulatory device insertion or heart transplantation.MethodsFrom November 2019 until February 2022, 53 3D virtual biomodels were produced for intervention planning (using Virtual/Augmented Reality and/or 3D printing), following a specific segmentation and preprocessing workflow for biomodelling, in patients with advanced heart failure due to structural heart disease or cardiomyopathies. Four of those patients were complex cases requiring mechanical circulatory support implant procedures in our center.ResultsOne short-term and three long-term ventricular assist device system were successfully clinically implanted after application of this technique. In other two cases with extremely high procedural risk, visualized after application of this multimodality imaging, heart transplantation was elected.Conclusion3D printing based planning and virtual procedure simulation, are of great importance to select appropriate candidates for mechanical circulatory support in case of complex patient anatomy and may help to diminish periprocedural complications. Extended reality represents a perspective tool in planification of complex surgical procedures or ventricular assist device insertion in this setting.

【 授权许可】

Unknown   
© 2023 Stepanenko, Perez, Ferre, Ybarra Falcón, Pérez de la Sota, San Roman, Redondo Diéguez and Baladron.