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在使用手术前3D打印技术指导使用大动脉替换后,通过皮肤关闭围膜泄漏:3D打印技术指导:案例报告

Zewei Xu¹, Chunpeng Zhang¹, Chenhao Xu²

¹Department of Cardiology The Second Hospital of Jilin University Changchun China.

Clinical case reports

|July 30, 2025

概括

本案例研究表明,使用3D打印以获得精确指导和心内心声回应 (ICE) 以获得安全性,成功关闭了严重的大动脉膜漏洞 (PVL) 的跨导管封闭. 这种创新方法为复杂的膜疾病提供了最少的侵入性解决方案.

科学领域:

心血管医学心血管医学
干预心脏病学干预心脏病学
医学成像和技术医学成像和技术

背景情况:

准膜泄漏 (PVL) 可以导致显著的发病率,特别是在复杂的膜病史的患者中.
严重的大动脉PVL是一个治疗挑战,通常需要复杂的干预措施.
越来越多地探索过导管方法来管理PVL,因为它们的侵入性最小.

研究的目的:

报告一个新型病例的跨导管垂漏洞 (PVL) 关闭.
突出三维 (3D) 打印和心内心声谱 (ICE) 在指导手术中的联合实用性.
在患有复杂心脏病史的患者中,证明严重的大动脉PVL的成功治疗策略.

主要方法:

使用患者特定的3D打印模型对大动脉和PVL进行手术前评估.
内心回声心脏图 (ICE) 用于实时可视化和指导在跨导管程序期间.
根据3D建模和ICE发现,选择合适的封闭器尺寸和设备放置位置.

主要成果:

成功关闭了严重的大动脉膜漏洞 (PVL) 的透导管.
使用3D打印精确的手术前规划促进了精确的设备选择和定位.
该程序在局部麻醉下顺利进行,ICE确保了安全性和有效性.

结论:

三维 (3D) 打印与心内心声谱 (ICE) 结合,可提供准确的术前规划和实时指导,用于关闭跨导管漏 (PVL).
这种综合方法提高了大动脉PVL复杂病例的安全性和成功率.
这一案例强调了先进的成像和建模在干预心脏病学中的潜力.

关键词:

3D打印技术是3D打印的一种技术.案例报告案例报告内心心脏回声学是指心内心脏回声学.通过皮肤的关闭.周围膜泄漏的情况

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