Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience

Three-dimensional (3D) virtual modeling and printing advances individualized medicine and surgery. In congenital cardiac surgery, 3D virtual models and printed prototypes offer advantages of better understanding of complex anatomy, hands-on preoperative surgical planning and emulation, and improved...

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Autores principales:	Laszlo Kiraly, Nishant C. Shah, Osama Abdullah, Oraib Al-Ketan, Reza Rowshan
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	three-dimensional printing congenital heart disease congenital heart surgery surgical simulation surgical training hands-on surgical training Microbiology QR1-502
Acceso en línea:	https://doaj.org/article/c312979e73614dbe9ebc9d36126aa57d
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spelling	oai:doaj.org-article:c312979e73614dbe9ebc9d36126aa57d2021-11-25T16:54:00ZThree-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience10.3390/biom111117032218-273Xhttps://doaj.org/article/c312979e73614dbe9ebc9d36126aa57d2021-11-01T00:00:00Zhttps://www.mdpi.com/2218-273X/11/11/1703https://doaj.org/toc/2218-273XThree-dimensional (3D) virtual modeling and printing advances individualized medicine and surgery. In congenital cardiac surgery, 3D virtual models and printed prototypes offer advantages of better understanding of complex anatomy, hands-on preoperative surgical planning and emulation, and improved communication within the multidisciplinary team and to patients. We report our single center team-learning experience about the realization and validation of possible clinical benefits of 3D-printed models in surgical planning of complex congenital cardiac surgery. CT-angiography raw data were segmented into 3D-virtual models of the heart-great vessels. Prototypes were 3D-printed as rigid “blood-volume” and flexible “hollow”. The accuracy of the models was evaluated intraoperatively. Production steps were realized in the framework of a clinical/research partnership. We produced 3D prototypes of the heart-great vessels for 15 case scenarios (nine males, median age: 11 months) undergoing complex intracardiac repairs. Parity between 3D models and intraoperative structures was within 1 mm range. Models refined diagnostics in 13/15, provided new anatomic information in 9/15. As a team-learning experience, all complex staged redo-operations (13/15; Aristotle-score mean: 10.64 ± 1.95) were rehearsed on the 3D models preoperatively. 3D-printed prototypes significantly contributed to an improved/alternative operative plan on the surgical approach, modification of intracardiac repair in 13/15. No operative morbidity/mortality occurred. Our clinical/research partnership provided coverage for the extra time/labor and material/machinery not financed by insurance. 3D-printed models provided a team-learning experience and contributed to the safety of complex congenital cardiac surgeries. A clinical/research partnership may open avenues for bioprinting of patient-specific implants.Laszlo KiralyNishant C. ShahOsama AbdullahOraib Al-KetanReza RowshanMDPI AGarticlethree-dimensional printingcongenital heart diseasecongenital heart surgerysurgical simulationsurgical traininghands-on surgical trainingMicrobiologyQR1-502ENBiomolecules, Vol 11, Iss 1703, p 1703 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	three-dimensional printing congenital heart disease congenital heart surgery surgical simulation surgical training hands-on surgical training Microbiology QR1-502
spellingShingle	three-dimensional printing congenital heart disease congenital heart surgery surgical simulation surgical training hands-on surgical training Microbiology QR1-502 Laszlo Kiraly Nishant C. Shah Osama Abdullah Oraib Al-Ketan Reza Rowshan Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience
description	Three-dimensional (3D) virtual modeling and printing advances individualized medicine and surgery. In congenital cardiac surgery, 3D virtual models and printed prototypes offer advantages of better understanding of complex anatomy, hands-on preoperative surgical planning and emulation, and improved communication within the multidisciplinary team and to patients. We report our single center team-learning experience about the realization and validation of possible clinical benefits of 3D-printed models in surgical planning of complex congenital cardiac surgery. CT-angiography raw data were segmented into 3D-virtual models of the heart-great vessels. Prototypes were 3D-printed as rigid “blood-volume” and flexible “hollow”. The accuracy of the models was evaluated intraoperatively. Production steps were realized in the framework of a clinical/research partnership. We produced 3D prototypes of the heart-great vessels for 15 case scenarios (nine males, median age: 11 months) undergoing complex intracardiac repairs. Parity between 3D models and intraoperative structures was within 1 mm range. Models refined diagnostics in 13/15, provided new anatomic information in 9/15. As a team-learning experience, all complex staged redo-operations (13/15; Aristotle-score mean: 10.64 ± 1.95) were rehearsed on the 3D models preoperatively. 3D-printed prototypes significantly contributed to an improved/alternative operative plan on the surgical approach, modification of intracardiac repair in 13/15. No operative morbidity/mortality occurred. Our clinical/research partnership provided coverage for the extra time/labor and material/machinery not financed by insurance. 3D-printed models provided a team-learning experience and contributed to the safety of complex congenital cardiac surgeries. A clinical/research partnership may open avenues for bioprinting of patient-specific implants.
format	article
author	Laszlo Kiraly Nishant C. Shah Osama Abdullah Oraib Al-Ketan Reza Rowshan
author_facet	Laszlo Kiraly Nishant C. Shah Osama Abdullah Oraib Al-Ketan Reza Rowshan
author_sort	Laszlo Kiraly
title	Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience
title_short	Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience
title_full	Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience
title_fullStr	Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience
title_full_unstemmed	Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience
title_sort	three-dimensional virtual and printed prototypes in complex congenital and pediatric cardiac surgery—a multidisciplinary team-learning experience
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c312979e73614dbe9ebc9d36126aa57d
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Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience

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