Analyze the application of future 3D printing technology in cardiac surgery

A pioneer investigation called the "3D Heart" has recently started random registration. The purpose of this experiment was to investigate how the heart model made with 3D printing technology would affect the preoperative planning of children's heart surgery. For this topic, we interviewed Alistair Phillips (hereinafter referred to as the Chairman), the co-chairman of the Department of Surgery of the American Heart Association, to let him talk about the impact of applying 3D printing technology on surgery and his participation in the "3d heart" based on his personal experience. Some comments on this project after the project.

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Q: Please describe your experience in using 3d models for surgical planning? What are the improvements in using the 3D printed model versus the traditional CT/MRI 3D reconstruction method?

A: I have used a 3d printed model for preoperative planning before many complicated operations. We pioneered a new type of pulmonary valve replacement that can be performed without opening the heart. In the past, I didn't use 3D printing technology when I was in Columbus. We used a method of replacing each atrium in our pulmonary valve replacement surgery. This method severely limits our passage to the atrial outflow. A correct understanding of the anatomy of a part (this channel is where the pulse replacement surgery is performed). After I came to Cedars-Sinai, we improved the previous method by pre-planning the 3D printed patient's heart model. The 3D model can help us simulate the situation after the implant is implanted into the atrial channel. Using a 3d printed heart model can help doctors better understand the effects of implant replacement. In addition, this new method reduces the harm of surgery to patients compared to traditional methods.

Q: Please tell us about the “3d Heart” random medical experiment and why did you choose the patient group to start medical experiments?

A: Because experimenting with a single patient population will maximize our understanding of the cardiac anatomy of this type of patient. A clearer understanding of the anatomy will increase the quality and level of the corresponding procedure. In this medical experiment, we will 3d print their heart model for preoperative planning for each patient. Although I am not the main person in charge of this experiment, I believe that the person in charge of this experiment is fully prepared to select patients with congenital heart disease who need to undergo double atrial repair, and believe that Medical experiments conducted on these patients can demonstrate the enormous impact of pre-operative planning on the medical practice in this field using 3D printed models.

Q: What kind of technical features or capabilities do you need to print a 3D model printer for pre-operative planning?

A: This is a very good question. Every patient has different requirements for each operation. The unique feature of 3D printing technology is that it can customize the service for each patient to meet their unique needs. But for each patient, the authenticity of the model will always be guaranteed. We are confident that the model created by using a wide variety of materials with different physical characteristics can meet the needs of preoperative planning for different operations, while at the same time ensuring the authenticity of the model. Accurate structure and accurate material are the two most important aspects of the preoperative planning model. Improving the authenticity of the model in these two aspects will greatly help doctors to make more reliable preoperative planning.

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