Clinical application of 3D parametric surface planar topological guide plate in fenestrated/branched endovascular aortic repair technique
Objective To summarize the experience and effect using 3D parametric surface planar topological guide plate technology in fenestrated/branched endovascular aortic repair (F/B EVAR) to repair aortic arch and thoracoabdominal aortic lesions involving important aortic branches. Methods From August 2020...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Surgery Concepts & Practice
2022-07-01
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| Series: | Waike lilun yu shijian |
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| Online Access: | https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1663654840488-1832218287.pdf |
| _version_ | 1797648498728894464 |
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| author | FU Dongsheng, LIU Zhao, YANG Chao, LI Qin, CHEN Gezheng, SUN Lili, LI Wendong, ZHOU Minjie, LIU Chen, QIAO Tong, LI Yiqing, LI Xiaoqiang |
| author_facet | FU Dongsheng, LIU Zhao, YANG Chao, LI Qin, CHEN Gezheng, SUN Lili, LI Wendong, ZHOU Minjie, LIU Chen, QIAO Tong, LI Yiqing, LI Xiaoqiang |
| author_sort | FU Dongsheng, LIU Zhao, YANG Chao, LI Qin, CHEN Gezheng, SUN Lili, LI Wendong, ZHOU Minjie, LIU Chen, QIAO Tong, LI Yiqing, LI Xiaoqiang |
| collection | DOAJ |
| description | Objective To summarize the experience and effect using 3D parametric surface planar topological guide plate technology in fenestrated/branched endovascular aortic repair (F/B EVAR) to repair aortic arch and thoracoabdominal aortic lesions involving important aortic branches. Methods From August 2020 through April 2022, 17 patients [14 males and 3 females, mean age of(61.06±11.23)(39-78) years] with complex aortic lesions involving important branches were treated in both Nanjing Drum Tower Hospital and Union Hospital. There were 8 cases with aortic arch aneurysms 4 cases and dissections 4 cases, respectively, and 9 cases with thoracoabdominal aortic aneurysms 5 cases and dissections 4 cases, respectively. Six cases were urgent operation and 11 cases were selective operation. Before operation, 3D parametric surface planar topological guide plate was made according to aortic computed tomography angiography. Under the guidance of planar guide plate, pre-fenestrated and external/internal branched and other endovascular aortic repair was performed. Totally, 50 fenestrated/branched stent grafts were planted. Results All operations were completed without conversion to open surgery. Average operative time was (4.57±2.29)(1.50-10.67) h. There was no renal insufficiency, paraplegia and loss of branch arteries. One patient (5.88%) died during perioperative period. Within the follow-up, there were 2 cases (11.76%) of endoleak type Ⅰc and type Ⅲc, respectively. Conclusions F/B EVAR under the guidance of 3D parametric surface planar topological guide plate is a minimally invasive treatment. The technology is more accurate than traditional measurement and positioning, faster than 3D printing guidance, and safe and reliable shown in the follow-up. |
| first_indexed | 2024-03-11T15:33:00Z |
| format | Article |
| id | doaj.art-52081f17776c4a8a9096fb1acf4f33d7 |
| institution | Directory Open Access Journal |
| issn | 1007-9610 |
| language | zho |
| last_indexed | 2024-03-11T15:33:00Z |
| publishDate | 2022-07-01 |
| publisher | Editorial Office of Journal of Surgery Concepts & Practice |
| record_format | Article |
| series | Waike lilun yu shijian |
| spelling | doaj.art-52081f17776c4a8a9096fb1acf4f33d72023-10-27T02:14:04ZzhoEditorial Office of Journal of Surgery Concepts & PracticeWaike lilun yu shijian1007-96102022-07-01270431832310.16139/j.1007-9610.2022.04.009Clinical application of 3D parametric surface planar topological guide plate in fenestrated/branched endovascular aortic repair techniqueFU Dongsheng, LIU Zhao, YANG Chao, LI Qin, CHEN Gezheng, SUN Lili, LI Wendong, ZHOU Minjie, LIU Chen, QIAO Tong, LI Yiqing, LI Xiaoqiang01. Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliate Hospital of Nanjing University Medical School, Jiangsu Nanjing 210008, China;2. Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Wuhan 430022, China;3. Cloud Cure Medical Technology Co.,Ltd., Jiangsu Nanjing 211215, ChinaObjective To summarize the experience and effect using 3D parametric surface planar topological guide plate technology in fenestrated/branched endovascular aortic repair (F/B EVAR) to repair aortic arch and thoracoabdominal aortic lesions involving important aortic branches. Methods From August 2020 through April 2022, 17 patients [14 males and 3 females, mean age of(61.06±11.23)(39-78) years] with complex aortic lesions involving important branches were treated in both Nanjing Drum Tower Hospital and Union Hospital. There were 8 cases with aortic arch aneurysms 4 cases and dissections 4 cases, respectively, and 9 cases with thoracoabdominal aortic aneurysms 5 cases and dissections 4 cases, respectively. Six cases were urgent operation and 11 cases were selective operation. Before operation, 3D parametric surface planar topological guide plate was made according to aortic computed tomography angiography. Under the guidance of planar guide plate, pre-fenestrated and external/internal branched and other endovascular aortic repair was performed. Totally, 50 fenestrated/branched stent grafts were planted. Results All operations were completed without conversion to open surgery. Average operative time was (4.57±2.29)(1.50-10.67) h. There was no renal insufficiency, paraplegia and loss of branch arteries. One patient (5.88%) died during perioperative period. Within the follow-up, there were 2 cases (11.76%) of endoleak type Ⅰc and type Ⅲc, respectively. Conclusions F/B EVAR under the guidance of 3D parametric surface planar topological guide plate is a minimally invasive treatment. The technology is more accurate than traditional measurement and positioning, faster than 3D printing guidance, and safe and reliable shown in the follow-up.https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1663654840488-1832218287.pdf|3d parametric surface planar topological guide plate technology|endovascular aortic repair|aortic arch|thoracoabdominal aorta |
| spellingShingle | FU Dongsheng, LIU Zhao, YANG Chao, LI Qin, CHEN Gezheng, SUN Lili, LI Wendong, ZHOU Minjie, LIU Chen, QIAO Tong, LI Yiqing, LI Xiaoqiang Clinical application of 3D parametric surface planar topological guide plate in fenestrated/branched endovascular aortic repair technique Waike lilun yu shijian |3d parametric surface planar topological guide plate technology|endovascular aortic repair|aortic arch|thoracoabdominal aorta |
| title | Clinical application of 3D parametric surface planar topological guide plate in fenestrated/branched endovascular aortic repair technique |
| title_full | Clinical application of 3D parametric surface planar topological guide plate in fenestrated/branched endovascular aortic repair technique |
| title_fullStr | Clinical application of 3D parametric surface planar topological guide plate in fenestrated/branched endovascular aortic repair technique |
| title_full_unstemmed | Clinical application of 3D parametric surface planar topological guide plate in fenestrated/branched endovascular aortic repair technique |
| title_short | Clinical application of 3D parametric surface planar topological guide plate in fenestrated/branched endovascular aortic repair technique |
| title_sort | clinical application of 3d parametric surface planar topological guide plate in fenestrated branched endovascular aortic repair technique |
| topic | |3d parametric surface planar topological guide plate technology|endovascular aortic repair|aortic arch|thoracoabdominal aorta |
| url | https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1663654840488-1832218287.pdf |
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