Three-dimensional printing and virtual reconstruction in surgical planning of double-outlet right ventricle repairCentral MessagePerspective
Objectives: For more than a decade, 3-dimensional (3D) printing has been identified as an innovative tool for the surgical planning of double-outlet right ventricle (DORV). Nevertheless, lack of evidence concerning its benefits encourages us to identify valuable criteria for future prospective trial...
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Elsevier
2023-02-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250722005855 |
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| author | Kevin Ponchant Duy-Anh Nguyen, MD Milan Prsa, MD Maurice Beghetti, MD Tornike Sologashvili, MD Jean-Paul Vallée, MD-PhD |
| author_facet | Kevin Ponchant Duy-Anh Nguyen, MD Milan Prsa, MD Maurice Beghetti, MD Tornike Sologashvili, MD Jean-Paul Vallée, MD-PhD |
| author_sort | Kevin Ponchant |
| collection | DOAJ |
| description | Objectives: For more than a decade, 3-dimensional (3D) printing has been identified as an innovative tool for the surgical planning of double-outlet right ventricle (DORV). Nevertheless, lack of evidence concerning its benefits encourages us to identify valuable criteria for future prospective trials. Methods: We conducted a retrospective study involving 10 patients with DORV operated between 2015 and 2019 in our center. During a preoperative multidisciplinary heart team meeting, we harvested surgical decisions following a 3-increment step process: (1) multimodal imaging; (2) 3D virtual valvular reconstruction (3DVVR); and (3) 3D-printed heart model (3DPHM). The primary outcome was the proportion of predicted surgical strategy following each of the 3 steps, compared with the institutional retrospective surgical strategy. The secondary outcome was the change of surgical strategy through 3D modalities compared with multimodal imaging. The incremental benefit of the 3DVVR and 3DPHM over multimodal imaging was then assessed. Results: The operative strategy was predicted in 5 cases after multimodal imaging, in 9 cases after 3DVVR, and the 10 cases after 3DPHM. Compared with multimodal imaging, 3DVVR modified the strategy for 4 cases. One case was correctly predicted only after 3DPHM inspection. Conclusions: 3DVVR and 3DPHM improved multimodal imaging in the surgical planning of patients with DORV. 3DVVR allowed a better appreciation of the relationships between great vessels, valves, and ventricular septal defects. 3DPHM offers a realistic preoperative view at patient scale and enhances the evaluation of outflow tract obstruction. Our retrospective study demonstrates benefits of preoperative 3D modalities and supports future prospective trials to assess their impact on postoperative outcomes. |
| format | Article |
| id | doaj-art-e23dd662eeb244c58613cc8dc5301921 |
| institution | DOAJ |
| issn | 2666-2507 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-e23dd662eeb244c58613cc8dc53019212025-08-20T03:04:53ZengElsevierJTCVS Techniques2666-25072023-02-011713815010.1016/j.xjtc.2022.11.005Three-dimensional printing and virtual reconstruction in surgical planning of double-outlet right ventricle repairCentral MessagePerspectiveKevin Ponchant0Duy-Anh Nguyen, MD1Milan Prsa, MD2Maurice Beghetti, MD3Tornike Sologashvili, MD4Jean-Paul Vallée, MD-PhD5Cardiovascular Radiology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland; Address for reprints: Kevin Ponchant, Cardiovascular Radiology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.Pediatric Cardiology Unit, Children's University Hospital, Geneva, SwitzerlandDivision of Pediatric Cardiology, Woman-Mother-Child Department, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland; Centre Universitaire Romand de Cardiologie et Chirurgie Cardiaque Pédiatrique, Geneva University Hospitals/Lausanne University Hospital, Geneva/Lausanne, SwitzerlandPediatric Cardiology Unit, Children's University Hospital, Geneva, Switzerland; Centre Universitaire Romand de Cardiologie et Chirurgie Cardiaque Pédiatrique, Geneva University Hospitals/Lausanne University Hospital, Geneva/Lausanne, SwitzerlandCentre Universitaire Romand de Cardiologie et Chirurgie Cardiaque Pédiatrique, Geneva University Hospitals/Lausanne University Hospital, Geneva/Lausanne, Switzerland; Division of Cardiac Surgery, Geneva University Hospitals, Geneva, SwitzerlandCardiovascular Radiology Unit, Geneva University Hospitals and University of Geneva, Geneva, SwitzerlandObjectives: For more than a decade, 3-dimensional (3D) printing has been identified as an innovative tool for the surgical planning of double-outlet right ventricle (DORV). Nevertheless, lack of evidence concerning its benefits encourages us to identify valuable criteria for future prospective trials. Methods: We conducted a retrospective study involving 10 patients with DORV operated between 2015 and 2019 in our center. During a preoperative multidisciplinary heart team meeting, we harvested surgical decisions following a 3-increment step process: (1) multimodal imaging; (2) 3D virtual valvular reconstruction (3DVVR); and (3) 3D-printed heart model (3DPHM). The primary outcome was the proportion of predicted surgical strategy following each of the 3 steps, compared with the institutional retrospective surgical strategy. The secondary outcome was the change of surgical strategy through 3D modalities compared with multimodal imaging. The incremental benefit of the 3DVVR and 3DPHM over multimodal imaging was then assessed. Results: The operative strategy was predicted in 5 cases after multimodal imaging, in 9 cases after 3DVVR, and the 10 cases after 3DPHM. Compared with multimodal imaging, 3DVVR modified the strategy for 4 cases. One case was correctly predicted only after 3DPHM inspection. Conclusions: 3DVVR and 3DPHM improved multimodal imaging in the surgical planning of patients with DORV. 3DVVR allowed a better appreciation of the relationships between great vessels, valves, and ventricular septal defects. 3DPHM offers a realistic preoperative view at patient scale and enhances the evaluation of outflow tract obstruction. Our retrospective study demonstrates benefits of preoperative 3D modalities and supports future prospective trials to assess their impact on postoperative outcomes.http://www.sciencedirect.com/science/article/pii/S2666250722005855double-outlet right ventricle3D virtual valvular reconstruction3D printed heart model3D modality in surgical planning3D printing |
| spellingShingle | Kevin Ponchant Duy-Anh Nguyen, MD Milan Prsa, MD Maurice Beghetti, MD Tornike Sologashvili, MD Jean-Paul Vallée, MD-PhD Three-dimensional printing and virtual reconstruction in surgical planning of double-outlet right ventricle repairCentral MessagePerspective JTCVS Techniques double-outlet right ventricle 3D virtual valvular reconstruction 3D printed heart model 3D modality in surgical planning 3D printing |
| title | Three-dimensional printing and virtual reconstruction in surgical planning of double-outlet right ventricle repairCentral MessagePerspective |
| title_full | Three-dimensional printing and virtual reconstruction in surgical planning of double-outlet right ventricle repairCentral MessagePerspective |
| title_fullStr | Three-dimensional printing and virtual reconstruction in surgical planning of double-outlet right ventricle repairCentral MessagePerspective |
| title_full_unstemmed | Three-dimensional printing and virtual reconstruction in surgical planning of double-outlet right ventricle repairCentral MessagePerspective |
| title_short | Three-dimensional printing and virtual reconstruction in surgical planning of double-outlet right ventricle repairCentral MessagePerspective |
| title_sort | three dimensional printing and virtual reconstruction in surgical planning of double outlet right ventricle repaircentral messageperspective |
| topic | double-outlet right ventricle 3D virtual valvular reconstruction 3D printed heart model 3D modality in surgical planning 3D printing |
| url | http://www.sciencedirect.com/science/article/pii/S2666250722005855 |
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