Using 3D technology to facilitate endovascular in zone 0: zone 0 ascending aorta disease

• Published in: Proceedings / Annual IEEE International Symposium on Bioinformatics and Bioengineering (BIBE) pp. 55 - 60
• Main Authors: Chen, Wei-Ling, Kan, Chung-Dann, Yang, Tsung-Lung
• Format: Conference Proceeding
• Language: English
• Published: IEEE 01.11.2022
• Subjects: Acute Type A Aortic Dissection; Computed tomography; doctor-patient relationship; Geometry; patient-specific geometry; Surgery; Three-dimensional displays; Three-dimensional printing; Training; Transforms; Visualization
• ISSN: 2471-7819
• DOI: 10.1109/BIBE55377.2022.00064

Three-dimensional printing is a developing technology with several medical uses. Not only can it be used to complement the visualizing anatomy of the organs and circulatory system and aid in clinical decision-making, but it is also a helpful tool for planning and modeling surgical procedures. A senior person with acute kind The patient with an aortic dissection declined open surgery due to his advanced age, many comorbidities, and considerable surgical risk. We provide our expertise in rebuilding the diseased state of the aorta with 3Dp, explain the spatial link to establish the potential of the curative impact of thoracic endovascular stent graft revascularization (TEVAR), and effectively treat this patient. Due to the inability of conventional computed tomography's two-dimensional imaging to completely depict the unique anatomical structure of the study subject, it is necessary for the surgeon to utilize his or her imagination to form the picture in the brain. The use of 3Dp may transform a picture into a comprehensive three-dimensional structure and apply it; this may radically alter the individualized treatment strategy as a whole. Here, we used computed tomography scans and 3D Slicer software to recreate the ascending aorta's 3D image structure. Its primary objective is to elucidate the anatomical anatomy and spatial geometry of the ascending aorta burst hole. To patch the burst hole, we designed and utilized three short stent grafts instead of one large stent graft. 3Dp may provide unique preoperative planning and solutions for some presently limited procedures. With the advent of more complicated, minimally invasive, or endovascular surgery, 3Dp may become an essential platform for surgical instructors and trainees to engage and undertake surgical training.