3D打印辅助体外开窗在TEVAR中的应用  

Clinical application of 3D printing-assisted extracorporeal fenestration in TEVAR surgery

作　　者：吴智勇[1] 候金承 刘雪凯 温景园 胡锐[1] 阮永乐[1] Wu Zhiyong;Hou Jincheng;Liu Xuekai;Wen Jingyuan;Hu Rui;Ruan Yongle(Cardiovascular Surgery,Wuhan University People's Hospital,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院心血管外科,武汉430060

出　　处：《中华胸心血管外科杂志》2022年第10期586-589,共4页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：武汉大学2021年度医学部教学研究项目(2021031);武汉大学2022年国家级大学生创新训练项目(202210486113)。

摘　　要：目的探讨3D打印辅助体外开窗技术在胸主动脉腔内修复术中的应用效果和可行性。方法回顾性分析2019年1月至2021年5月武汉大学人民医院心血管外科应用3D打印技术辅助体外开窗的10例接受胸主动脉腔内修复术患者的临床资料,分析手术效果以及围手术期并发症发生情况。结果10例患者中男9例,女1例;年龄(53.3±15.7)岁。其中B型复杂型主动脉夹层4例,胸主动脉瘤5例,腹主动脉瘤1例。全部患者均在3D打印辅助体外开窗下完成胸主动脉腔内修复术,1例同期行PCI术。患者术后均无并发症发生,无围术期死亡病例。结论3D打印技术辅助体外开窗及主动脉腔内修复术可以准确的定位主动脉支架的开窗位置,优化腔内治疗方案,改善患者预后。Objective To investigate the effectiveness and feasibility of 3D printing-assisted extracorporeal fenestration techniques in thoracic aortic endoluminal repair.Methods Retrospectively analyzed the clinical data of patients who underwent endovenous repair of the thoracic aorta with the application of 3D printing technology-assisted extracorporeal windowing in the Department of Cardiovascular Surgery,Wuhan University Hospital from January 2019 to May 2021,and analyzed the surgical results as well as the occurrence of perioperative complications.Results A total of 10 patients with a mean age of(53.3±15.7)years were included,including 4 cases of complex B aortic coarctation,5 cases of thoracic aortic aneurysm and 1 case of abdominal aortic aneurysm.All patients in this group underwent endoluminal repair of the thoracic aorta with 3D printing assisted extracorporeal fenestration,including 1 case of PCI performed at the same time.There were no postoperative complications and no perioperative deaths.Conclusion 3D printing technology assisted extracorporeal fenestration and endoluminal aortic repair can accurately position aortic stents for fenestration,optimise endoluminal treatment options and improve patient prognosis.

关 键 词：3D打印 主动脉夹层 主动脉瘤 体外开窗 主动脉腔内修复术 

分 类 号：R654.3[医药卫生—外科学]