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3D-Printing to Plan Complex Transcatheter Paravalvular Leaks Closure

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: 3D-Printing to Plan Complex Transcatheter Paravalvular Leaks Closure
Συγγραφείς: Ciobotaru, Vlad, Tadros, Victor-Xavier, Batistella, Marcos, Maupas, Eric, Gallet, Romain, Decante, Benoit, Lebret, Emmanuel, Gerardin, Benoit, Hascoet, Sebastien
Συνεισφορές: Hôpital privé les Franciscaines, Hôpital Marie-Lannelongue, Polymères Composites et Hybrides (PCH - IMT Mines Alès), IMT MINES ALÈS, Institut Mines-Télécom Paris (IMT)-Institut Mines-Télécom Paris (IMT), Hôpital Henri Mondor, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Henri Mondor Créteil, Groupe Henri Mondor-Albert Chenevier-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Groupe Henri Mondor-Albert Chenevier-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)
Πηγή: ISSN: 2077-0383 ; Journal of Clinical Medicine ; https://imt-mines-ales.hal.science/hal-03790774 ; Journal of Clinical Medicine, 2022, 11 (16), pp.4758. ⟨10.3390/jcm11164758⟩.
Στοιχεία εκδότη: CCSD
MDPI
Έτος έκδοσης: 2022
Θεματικοί όροι: transcatheter, prosthetic valve, percutaneous, paravalvular leak, multimodality imaging, interventional cardiology, 3D printing, [SDV.IB]Life Sciences [q-bio]/Bioengineering, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery
Περιγραφή: International audience ; Background: Percutaneous closure of paravalvular leak (PVL) has emerged as an alternative to surgical management in selected cases. Achieving complete PVL occlusion, while respecting prosthesis function remains challenging. A multimodal imaging analysis of PVL morphology before and during the procedure is mandatory to select an appropriate device. We aim to explore the additional value of 3D printing in predicting device related adverse events including mechanical valve leaflet blockade, risk of device embolization and residual shunting.Methods: From the FFPP registries (NCT05089136 and NCT05117359), we included 11 transcatheter PVL closure procedures from three centers for which 3D printed models were produced. Cardiac CT was used for segmentation for 3D printed models (3D-heartmodeling, Caissargues, France). Technology used a laser to fuse very fine powders (TPU Thermoplastic polyurethane) into a final part-laser sintering technology (SLS) with an adapted elasticity. A simulation on 3D printed model was performed using a set of occluders.Results: PVLs were located around aortic prostheses in six cases, mitral prostheses in four cases and tricuspid ring in one case. The device chosen during the simulation on the 3D printed model matched the one implanted in eight cases. In the three other cases, a similar device type was chosen during the procedures but with a different size. A risk of prosthesis leaflet blockade was identified on 3D printed models in four cases. During the procedure, the occluder was removed before release in one case. In another case the device was successfully repositioned and released. In two patients, leaflet impingement was observed post-operatively and surgical device removal had to be performed.Conclusion: In a case-series of complex transcatheter PVL closure procedures, hands-on simulation testing on 3D printed models proved its usefulness to plan and facilitate these challenging procedures.
Τύπος εγγράφου: article in journal/newspaper
Γλώσσα: English
DOI: 10.3390/jcm11164758
Διαθεσιμότητα: https://imt-mines-ales.hal.science/hal-03790774
https://imt-mines-ales.hal.science/hal-03790774v1/document
https://imt-mines-ales.hal.science/hal-03790774v1/file/jcm-11-04758-v2-1.pdf
https://doi.org/10.3390/jcm11164758
Rights: https://about.hal.science/hal-authorisation-v1/ ; info:eu-repo/semantics/OpenAccess
Αριθμός Καταχώρησης: edsbas.A09532C
Βάση Δεδομένων: BASE
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  Data: 3D-Printing to Plan Complex Transcatheter Paravalvular Leaks Closure
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  Data: <searchLink fieldCode="AR" term="%22Ciobotaru%2C+Vlad%22">Ciobotaru, Vlad</searchLink><br /><searchLink fieldCode="AR" term="%22Tadros%2C+Victor-Xavier%22">Tadros, Victor-Xavier</searchLink><br /><searchLink fieldCode="AR" term="%22Batistella%2C+Marcos%22">Batistella, Marcos</searchLink><br /><searchLink fieldCode="AR" term="%22Maupas%2C+Eric%22">Maupas, Eric</searchLink><br /><searchLink fieldCode="AR" term="%22Gallet%2C+Romain%22">Gallet, Romain</searchLink><br /><searchLink fieldCode="AR" term="%22Decante%2C+Benoit%22">Decante, Benoit</searchLink><br /><searchLink fieldCode="AR" term="%22Lebret%2C+Emmanuel%22">Lebret, Emmanuel</searchLink><br /><searchLink fieldCode="AR" term="%22Gerardin%2C+Benoit%22">Gerardin, Benoit</searchLink><br /><searchLink fieldCode="AR" term="%22Hascoet%2C+Sebastien%22">Hascoet, Sebastien</searchLink>
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  Data: Hôpital privé les Franciscaines<br />Hôpital Marie-Lannelongue<br />Polymères Composites et Hybrides (PCH - IMT Mines Alès)<br />IMT MINES ALÈS<br />Institut Mines-Télécom Paris (IMT)-Institut Mines-Télécom Paris (IMT)<br />Hôpital Henri Mondor<br />Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Henri Mondor Créteil<br />Groupe Henri Mondor-Albert Chenevier-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Groupe Henri Mondor-Albert Chenevier-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)
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  Data: <i>ISSN: 2077-0383 ; Journal of Clinical Medicine ; https://imt-mines-ales.hal.science/hal-03790774 ; Journal of Clinical Medicine, 2022, 11 (16), pp.4758. ⟨10.3390/jcm11164758⟩</i>.
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  Data: CCSD<br />MDPI
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  Label: Publication Year
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  Data: 2022
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  Data: <searchLink fieldCode="DE" term="%22transcatheter%22">transcatheter</searchLink><br /><searchLink fieldCode="DE" term="%22prosthetic+valve%22">prosthetic valve</searchLink><br /><searchLink fieldCode="DE" term="%22percutaneous%22">percutaneous</searchLink><br /><searchLink fieldCode="DE" term="%22paravalvular+leak%22">paravalvular leak</searchLink><br /><searchLink fieldCode="DE" term="%22multimodality+imaging%22">multimodality imaging</searchLink><br /><searchLink fieldCode="DE" term="%22interventional+cardiology%22">interventional cardiology</searchLink><br /><searchLink fieldCode="DE" term="%223D+printing%22">3D printing</searchLink><br /><searchLink fieldCode="DE" term="%22[SDV%2EIB]Life+Sciences+[q-bio]%2FBioengineering%22">[SDV.IB]Life Sciences [q-bio]/Bioengineering</searchLink><br /><searchLink fieldCode="DE" term="%22[SDV%2EMHEP%2ECSC]Life+Sciences+[q-bio]%2FHuman+health+and+pathology%2FCardiology+and+cardiovascular+system%22">[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system</searchLink><br /><searchLink fieldCode="DE" term="%22[SDV%2EMHEP%2ECHI]Life+Sciences+[q-bio]%2FHuman+health+and+pathology%2FSurgery%22">[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: International audience ; Background: Percutaneous closure of paravalvular leak (PVL) has emerged as an alternative to surgical management in selected cases. Achieving complete PVL occlusion, while respecting prosthesis function remains challenging. A multimodal imaging analysis of PVL morphology before and during the procedure is mandatory to select an appropriate device. We aim to explore the additional value of 3D printing in predicting device related adverse events including mechanical valve leaflet blockade, risk of device embolization and residual shunting.Methods: From the FFPP registries (NCT05089136 and NCT05117359), we included 11 transcatheter PVL closure procedures from three centers for which 3D printed models were produced. Cardiac CT was used for segmentation for 3D printed models (3D-heartmodeling, Caissargues, France). Technology used a laser to fuse very fine powders (TPU Thermoplastic polyurethane) into a final part-laser sintering technology (SLS) with an adapted elasticity. A simulation on 3D printed model was performed using a set of occluders.Results: PVLs were located around aortic prostheses in six cases, mitral prostheses in four cases and tricuspid ring in one case. The device chosen during the simulation on the 3D printed model matched the one implanted in eight cases. In the three other cases, a similar device type was chosen during the procedures but with a different size. A risk of prosthesis leaflet blockade was identified on 3D printed models in four cases. During the procedure, the occluder was removed before release in one case. In another case the device was successfully repositioned and released. In two patients, leaflet impingement was observed post-operatively and surgical device removal had to be performed.Conclusion: In a case-series of complex transcatheter PVL closure procedures, hands-on simulation testing on 3D printed models proved its usefulness to plan and facilitate these challenging procedures.
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  Data: 10.3390/jcm11164758
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        Type: general
      – SubjectFull: prosthetic valve
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      – SubjectFull: percutaneous
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