Application of three-dimensional printing in the planning and execution of aortic aneurysm repair

IntroductionThe accuracy of fenestrations in stent grafts for complex aortic aneurysms and dissections can be significantly improved using three-dimensional (3D)-printed phantoms. Standardization is enhanced by using artificial intelligence (AI) for image pre-processing before 3D printing. These met...

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Main Authors: Harshank Patel, Paul Choi, Jennifer C. Ku, Rosemary Vergara, Rafael Malgor, Dhiren Patel, Yong Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1485267/full
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author Harshank Patel
Paul Choi
Jennifer C. Ku
Rosemary Vergara
Rafael Malgor
Dhiren Patel
Yong Li
author_facet Harshank Patel
Paul Choi
Jennifer C. Ku
Rosemary Vergara
Rafael Malgor
Dhiren Patel
Yong Li
author_sort Harshank Patel
collection DOAJ
description IntroductionThe accuracy of fenestrations in stent grafts for complex aortic aneurysms and dissections can be significantly improved using three-dimensional (3D)-printed phantoms. Standardization is enhanced by using artificial intelligence (AI) for image pre-processing before 3D printing. These methods address fallacies in centerline image analysis and manual image pre-processing. This review examines the application of 3D printing and AI in complex aortic aneurysm repair, highlighting current clinical trends.MethodsAn exhaustive literature review was performed using keywords such as “3D printing,” “Artificial intelligence,” “Thoracoabdominal aneurysm,” “Abdominal aortic aneurysm,” “Aortic arch aneurysm,” “Endovascular repair,” and “Open repair” in PubMed and Google Scholar indexes up to June 2022.ResultsThis analysis included seven studies: four focused on 3D-printed phantoms for endovascular repair of various aortic pathologies (aortic arch, thoracoabdominal aorta, juxtarenal and pararenal aorta), one on open thoracoabdominal aneurysm repair using 3D-printed models for graft construction, and two on the use of convolutional neural networks, an AI-based technology, for the pre-processing of aortic computed tomography angiography images.ConclusionThe application of 3D printing and AI-based image pre-processing in the planning of complex aortic aneurysms offers several benefits, including enhanced patient and trainee education, more accurate fenestration placement, reduced surgical time and complications, and decreased surgeon stress.
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spelling doaj-art-7ffde228d3e04e6ea8e91c85ef708ca12025-01-29T06:46:11ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.14852671485267Application of three-dimensional printing in the planning and execution of aortic aneurysm repairHarshank Patel0Paul Choi1Jennifer C. Ku2Rosemary Vergara3Rafael Malgor4Dhiren Patel5Yong Li6Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United StatesDepartment of Vascular Surgery, Colorado University, Denver, CO, United StatesDepartment of Surgical Sciences, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United StatesDepartment of Surgical Sciences, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United StatesDepartment of Vascular Surgery, Colorado University, Denver, CO, United StatesDepartment of Vascular Surgery, Southern Illinois University, Springfield, IL, United StatesDepartment of Surgical Sciences, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United StatesIntroductionThe accuracy of fenestrations in stent grafts for complex aortic aneurysms and dissections can be significantly improved using three-dimensional (3D)-printed phantoms. Standardization is enhanced by using artificial intelligence (AI) for image pre-processing before 3D printing. These methods address fallacies in centerline image analysis and manual image pre-processing. This review examines the application of 3D printing and AI in complex aortic aneurysm repair, highlighting current clinical trends.MethodsAn exhaustive literature review was performed using keywords such as “3D printing,” “Artificial intelligence,” “Thoracoabdominal aneurysm,” “Abdominal aortic aneurysm,” “Aortic arch aneurysm,” “Endovascular repair,” and “Open repair” in PubMed and Google Scholar indexes up to June 2022.ResultsThis analysis included seven studies: four focused on 3D-printed phantoms for endovascular repair of various aortic pathologies (aortic arch, thoracoabdominal aorta, juxtarenal and pararenal aorta), one on open thoracoabdominal aneurysm repair using 3D-printed models for graft construction, and two on the use of convolutional neural networks, an AI-based technology, for the pre-processing of aortic computed tomography angiography images.ConclusionThe application of 3D printing and AI-based image pre-processing in the planning of complex aortic aneurysms offers several benefits, including enhanced patient and trainee education, more accurate fenestration placement, reduced surgical time and complications, and decreased surgeon stress.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1485267/fullendovascular aneurysm repair3D phantomsartificial intelligencethoracoabdominal aortic aneurysmsphysician-modified endovascular grafts
spellingShingle Harshank Patel
Paul Choi
Jennifer C. Ku
Rosemary Vergara
Rafael Malgor
Dhiren Patel
Yong Li
Application of three-dimensional printing in the planning and execution of aortic aneurysm repair
Frontiers in Cardiovascular Medicine
endovascular aneurysm repair
3D phantoms
artificial intelligence
thoracoabdominal aortic aneurysms
physician-modified endovascular grafts
title Application of three-dimensional printing in the planning and execution of aortic aneurysm repair
title_full Application of three-dimensional printing in the planning and execution of aortic aneurysm repair
title_fullStr Application of three-dimensional printing in the planning and execution of aortic aneurysm repair
title_full_unstemmed Application of three-dimensional printing in the planning and execution of aortic aneurysm repair
title_short Application of three-dimensional printing in the planning and execution of aortic aneurysm repair
title_sort application of three dimensional printing in the planning and execution of aortic aneurysm repair
topic endovascular aneurysm repair
3D phantoms
artificial intelligence
thoracoabdominal aortic aneurysms
physician-modified endovascular grafts
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1485267/full
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