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Three-Dimensional Printing of a Complex Aortic Anomaly
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Three-dimensional model printing for surgery on arteriovenous malformations.

Abhidha Shah1, Bhavin Jankharia2, Atul Goel1

  • 1Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.

Neurology India
|November 15, 2017
PubMed
Summary

Three-dimensional (3D) printed models offer a cost-effective and accessible method for preoperative planning in complex arteriovenous malformation surgeries. These models provide detailed insights into vascular architecture, aiding surgical precision.

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Area of Science:

  • Neurosurgery
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Complex intracranial vascular malformations necessitate extensive preoperative planning.
  • Traditional imaging modalities may have limitations in fully representing complex vascular structures.

Purpose of the Study:

  • To evaluate the utility of three-dimensional (3D) printed models as a preoperative tool for complex arteriovenous malformations (AVMs).
  • To highlight the advantages of 3D models in surgical planning and execution.

Main Methods:

  • 3D printed models were created from thin-slice computed tomography (CT) angiography scans of 6 patients with AVMs.
  • Models were generated using CT angiography data from a 64-slice CT scanner.
  • The process involved creating a volume file of the AVM and surrounding skull bones for 3D printing.

Main Results:

  • 3D models accurately depicted AVM compactness, nidus location, and relationship to the skull.
  • The models clearly delineated feeding vessels and draining veins, aiding in the identification of normal and abnormal vasculature.
  • Models facilitated surgical preparation and conduct, though color-coding for arteries and veins was not possible.

Conclusions:

  • 3D printed models are valuable for understanding AVM architecture and characteristics.
  • These models are cost-effective and simple to produce.
  • 3D models enhance preoperative assessment and surgical planning for AVMs.