CONFECÇÃO DE BIOMODELOS PARA PACIENTES RECÉM-NASCIDOS E CRIANÇAS MAIORES COM COARCTAÇÃO DA AORTA

R. N. Santos, Vinicius Oliveira Nascimento Louro, Nadine Rubliauskas Wahbe, Tiago Senra Garcia dos Santos, Aron Andrade, B. Silva, C. Pedra
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Abstract

Coarctation of the aorta (CoA) is a congenital disease in which there is narrowing of the aorta in its descending thoracic portion. There are procedures that are less-invasive such as balloon dilation, which is the insertion and insufflation of a device into the aorta to open the vessel, and stent implantation in which it is possible to keep the vessel opened in a certain diameter, the most commonly used procedure. There are factors that must be taken into account when selecting the stent model to be used, as well as: the implant mechanism; the geometry; the type of mesh formed by the metal rods; their structural design and their metallic composition. The applications of additive manufacture or 3D printing, focusing on the development of "physiological models" from DICOM files from computerized tomography of patients with congenital CoA generate biomodels as close as possible to the patient's anatomy. With this, the surgeons can discuss in detail which will be the best treatment to that patient. The analysis of the region with malformation before the intervention can significantly reduce future complications.
为新生儿和年龄较大的主动脉缩窄儿童制作生物模型
主动脉缩窄(CoA)是一种先天性疾病,其中主动脉在其降胸部分狭窄。也有一些侵入性较小的手术,比如球囊扩张术,这是一种将设备插入主动脉以打开血管的手术,还有支架植入术,这种手术可以将血管保持在一定直径内,这是最常用的手术。在选择要使用的支架模型时,必须考虑以下因素:植入机制;几何;由金属棒形成的网型;它们的结构设计和金属成分。增材制造或3D打印的应用侧重于从先天性CoA患者的计算机断层扫描的DICOM文件中开发“生理模型”,从而生成尽可能接近患者解剖结构的生物模型。有了这个,外科医生可以详细讨论对病人最好的治疗方法。在手术前对畸形部位进行分析可以显著减少术后并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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