3D-Printing to Plan Complex Transcatheter Paravalvular Leaks Closure Article Swipe
Vlad Ciobotaru
,
Victor-Xavier Tadros
,
Marcos Batistella
,
Eric Maupas
,
Romain Gallet
,
Benoît Decante
,
Emmanuel Lebret
,
Benoît Gérardin
,
Sébastien Hascoët
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/jcm11164758
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/jcm11164758
Background: Percutaneous closure of paravalvular leak (PVL) has emerged as an alternative to surgical management in selected cases. Achieving complete PVL occlusion, while respecting prosthesis function remains challenging. A multimodal imaging analysis of PVL morphology before and during the procedure is mandatory to select an appropriate device. We aim to explore the additional value of 3D printing in predicting device related adverse events including mechanical valve leaflet blockade, risk of device embolization and residual shunting. Methods: From the FFPP registries (NCT05089136 and NCT05117359), we included 11 transcatheter PVL closure procedures from three centers for which 3D printed models were produced. Cardiac CT was used for segmentation for 3D printed models (3D-heartmodeling, Caissargues, France). Technology used a laser to fuse very fine powders (TPU Thermoplastic polyurethane) into a final part-laser sintering technology (SLS) with an adapted elasticity. A simulation on 3D printed model was performed using a set of occluders. Results: PVLs were located around aortic prostheses in six cases, mitral prostheses in four cases and tricuspid ring in one case. The device chosen during the simulation on the 3D printed model matched the one implanted in eight cases. In the three other cases, a similar device type was chosen during the procedures but with a different size. A risk of prosthesis leaflet blockade was identified on 3D printed models in four cases. During the procedure, the occluder was removed before release in one case. In another case the device was successfully repositioned and released. In two patients, leaflet impingement was observed post-operatively and surgical device removal had to be performed. Conclusion: In a case-series of complex transcatheter PVL closure procedures, hands-on simulation testing on 3D printed models proved its usefulness to plan and facilitate these challenging procedures.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm11164758
- https://www.mdpi.com/2077-0383/11/16/4758/pdf?version=1660638418
- OA Status
- gold
- Cited By
- 13
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4291915029
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4291915029Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm11164758Digital Object Identifier
- Title
-
3D-Printing to Plan Complex Transcatheter Paravalvular Leaks ClosureWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-08-15Full publication date if available
- Authors
-
Vlad Ciobotaru, Victor-Xavier Tadros, Marcos Batistella, Eric Maupas, Romain Gallet, Benoît Decante, Emmanuel Lebret, Benoît Gérardin, Sébastien HascoëtList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm11164758Publisher landing page
- PDF URL
-
https://www.mdpi.com/2077-0383/11/16/4758/pdf?version=1660638418Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2077-0383/11/16/4758/pdf?version=1660638418Direct OA link when available
- Concepts
-
Medicine, 3d printed, Percutaneous, Occlusion, Embolization, Surgery, Prosthesis, Radiology, Biomedical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
13Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 4, 2023: 5, 2022: 2Per-year citation counts (last 5 years)
- References (count)
-
26Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.proved | 277 |
| abstract_inverted_index.select | 43 |
| abstract_inverted_index.Cardiac | 100 |
| abstract_inverted_index.adapted | 134 |
| abstract_inverted_index.adverse | 61 |
| abstract_inverted_index.another | 235 |
| abstract_inverted_index.centers | 92 |
| abstract_inverted_index.closure | 2, 88, 268 |
| abstract_inverted_index.complex | 265 |
| abstract_inverted_index.device. | 46 |
| abstract_inverted_index.emerged | 8 |
| abstract_inverted_index.explore | 50 |
| abstract_inverted_index.imaging | 30 |
| abstract_inverted_index.leaflet | 66, 211, 247 |
| abstract_inverted_index.located | 152 |
| abstract_inverted_index.matched | 181 |
| abstract_inverted_index.powders | 121 |
| abstract_inverted_index.printed | 96, 108, 140, 179, 217, 275 |
| abstract_inverted_index.related | 60 |
| abstract_inverted_index.release | 230 |
| abstract_inverted_index.remains | 26 |
| abstract_inverted_index.removal | 255 |
| abstract_inverted_index.removed | 228 |
| abstract_inverted_index.similar | 194 |
| abstract_inverted_index.testing | 272 |
| abstract_inverted_index.France). | 112 |
| abstract_inverted_index.Methods: | 75 |
| abstract_inverted_index.Results: | 149 |
| abstract_inverted_index.analysis | 31 |
| abstract_inverted_index.blockade | 212 |
| abstract_inverted_index.complete | 19 |
| abstract_inverted_index.function | 25 |
| abstract_inverted_index.hands-on | 270 |
| abstract_inverted_index.included | 84 |
| abstract_inverted_index.observed | 250 |
| abstract_inverted_index.occluder | 226 |
| abstract_inverted_index.printing | 56 |
| abstract_inverted_index.residual | 73 |
| abstract_inverted_index.selected | 16 |
| abstract_inverted_index.surgical | 13, 253 |
| abstract_inverted_index.Achieving | 18 |
| abstract_inverted_index.blockade, | 67 |
| abstract_inverted_index.different | 205 |
| abstract_inverted_index.implanted | 184 |
| abstract_inverted_index.including | 63 |
| abstract_inverted_index.mandatory | 41 |
| abstract_inverted_index.patients, | 246 |
| abstract_inverted_index.performed | 143 |
| abstract_inverted_index.procedure | 39 |
| abstract_inverted_index.produced. | 99 |
| abstract_inverted_index.released. | 243 |
| abstract_inverted_index.shunting. | 74 |
| abstract_inverted_index.sintering | 129 |
| abstract_inverted_index.tricuspid | 165 |
| abstract_inverted_index.Technology | 113 |
| abstract_inverted_index.additional | 52 |
| abstract_inverted_index.facilitate | 283 |
| abstract_inverted_index.identified | 214 |
| abstract_inverted_index.management | 14 |
| abstract_inverted_index.mechanical | 64 |
| abstract_inverted_index.morphology | 34 |
| abstract_inverted_index.multimodal | 29 |
| abstract_inverted_index.occluders. | 148 |
| abstract_inverted_index.occlusion, | 21 |
| abstract_inverted_index.part-laser | 128 |
| abstract_inverted_index.performed. | 259 |
| abstract_inverted_index.predicting | 58 |
| abstract_inverted_index.procedure, | 224 |
| abstract_inverted_index.procedures | 89, 201 |
| abstract_inverted_index.prostheses | 155, 160 |
| abstract_inverted_index.prosthesis | 24, 210 |
| abstract_inverted_index.registries | 79 |
| abstract_inverted_index.respecting | 23 |
| abstract_inverted_index.simulation | 137, 175, 271 |
| abstract_inverted_index.technology | 130 |
| abstract_inverted_index.usefulness | 279 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.Conclusion: | 260 |
| abstract_inverted_index.alternative | 11 |
| abstract_inverted_index.appropriate | 45 |
| abstract_inverted_index.case-series | 263 |
| abstract_inverted_index.challenging | 285 |
| abstract_inverted_index.elasticity. | 135 |
| abstract_inverted_index.impingement | 248 |
| abstract_inverted_index.procedures, | 269 |
| abstract_inverted_index.procedures. | 286 |
| abstract_inverted_index.(NCT05089136 | 80 |
| abstract_inverted_index.Caissargues, | 111 |
| abstract_inverted_index.Percutaneous | 1 |
| abstract_inverted_index.challenging. | 27 |
| abstract_inverted_index.embolization | 71 |
| abstract_inverted_index.paravalvular | 4 |
| abstract_inverted_index.repositioned | 241 |
| abstract_inverted_index.segmentation | 105 |
| abstract_inverted_index.successfully | 240 |
| abstract_inverted_index.NCT05117359), | 82 |
| abstract_inverted_index.Thermoplastic | 123 |
| abstract_inverted_index.polyurethane) | 124 |
| abstract_inverted_index.transcatheter | 86, 266 |
| abstract_inverted_index.post-operatively | 251 |
| abstract_inverted_index.(3D-heartmodeling, | 110 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 94 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 9 |
| citation_normalized_percentile.value | 0.89070708 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |