3d打印
主动脉根
主动脉瓣
医学
狭窄
生物医学工程
微创手术
阀门更换
放射科
心脏病学
外科
主动脉
作者
Ghazaleh Haghiashtiani,Kaiyan Qiu,Jorge D. Zhingre Sanchez,Zachary J. Fuenning,Priya Nair,Sarah E. Ahlberg,Paul A. Iaizzo,Michael C. McAlpine
出处
期刊:Science Advances
[American Association for the Advancement of Science]
日期:2020-08-28
卷期号:6 (35)
被引量:47
标识
DOI:10.1126/sciadv.abb4641
摘要
Minimally invasive surgeries have numerous advantages, yet complications may arise from limited knowledge about the anatomical site targeted for the delivery of therapy. Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure for treating aortic stenosis. Here, we demonstrate multimaterial three-dimensional printing of patient-specific soft aortic root models with internally integrated electronic sensor arrays that can augment testing for TAVR preprocedural planning. We evaluated the efficacies of the models by comparing their geometric fidelities with postoperative data from patients, as well as their in vitro hemodynamic performances in cases with and without leaflet calcifications. Furthermore, we demonstrated that internal sensor arrays can facilitate the optimization of bioprosthetic valve selections and in vitro placements via mapping of the pressures applied on the critical regions of the aortic anatomies. These models may pave exciting avenues for mitigating the risks of postoperative complications and facilitating the development of next-generation medical devices.
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