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Preoperative Ozaki technique measures on tridimensional engineered root

The aortic valve neocuspidalization (AVNeo) is an innovative surgical technique aiming at the reconstruction of the aortic valve using autologous pericardium. One of the main criticisms to AVNeo is the longer duration of the aortic clamping time (ACT) as compared to standard aortic valve replacement...

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Published in:Journal of cardiovascular computed tomography 2022-01, Vol.16 (1), p.51-53
Main Authors: Pirola, Sergio, Mastroiacovo, Giorgio, Mostardini, Giulia, Bonomi, Alice, Guglielmo, Marco, Muscogiuri, Giuseppe, Baggiano, Andrea, Montisci, Andrea, Pontone, Gianluca, Polvani, Gianluca
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cited_by cdi_FETCH-LOGICAL-c356t-77897dcb330350ba058621b7788223b3a58cf347ee7ab237f66e7bc1cb47e2ec3
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container_title Journal of cardiovascular computed tomography
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creator Pirola, Sergio
Mastroiacovo, Giorgio
Mostardini, Giulia
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Pontone, Gianluca
Polvani, Gianluca
description The aortic valve neocuspidalization (AVNeo) is an innovative surgical technique aiming at the reconstruction of the aortic valve using autologous pericardium. One of the main criticisms to AVNeo is the longer duration of the aortic clamping time (ACT) as compared to standard aortic valve replacement due to the sizing of the valve neocusps. We retrospectively enrolled 30 consecutives patients underwent AVNeo. For each patient we developed a 3D aortic root model (ARM) based on CT-scan datasets. We retrospectively compared the leaflets measurements performed during surgery with those obtained on the corresponding ARMs. In 100% of cases no difference between the in vitro and in vivo measurements exceeded the acceptable error limit of 2 ​mm. The correlation of each single in vitro versus in vivo measurements demonstrates a strong coincidence between the two different methods of sizing (r ​> ​0,9, p ​
doi_str_mv 10.1016/j.jcct.2021.09.008
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By analyzing the data considering the annulus perimeter and not the single cusp size, the perfect coincidence was to be found in 89.9% with a slight acceptable discrepancy (2 ​mm on total) in the remaining 10.1%. 3D-ARMs, printed from CT-scan, represent a reproducible process to obtain overlapping cusp sizes compared to those measured in-vivo, possibly reducing the ACT.</description><identifier>ISSN: 1934-5925</identifier><identifier>EISSN: 1876-861X</identifier><identifier>DOI: 10.1016/j.jcct.2021.09.008</identifier><identifier>PMID: 34610886</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>3D printing ; Aortic Valve - diagnostic imaging ; Aortic Valve - surgery ; Aortic Valve Stenosis ; AVNeo ; Heart Valve Prosthesis ; Humans ; Ozaki procedure ; Predictive Value of Tests ; Preoperative planning ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Journal of cardiovascular computed tomography, 2022-01, Vol.16 (1), p.51-53</ispartof><rights>2021 Society of Cardiovascular Computed Tomography</rights><rights>Copyright © 2021 Society of Cardiovascular Computed Tomography. 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By analyzing the data considering the annulus perimeter and not the single cusp size, the perfect coincidence was to be found in 89.9% with a slight acceptable discrepancy (2 ​mm on total) in the remaining 10.1%. 3D-ARMs, printed from CT-scan, represent a reproducible process to obtain overlapping cusp sizes compared to those measured in-vivo, possibly reducing the ACT.</description><subject>3D printing</subject><subject>Aortic Valve - diagnostic imaging</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Stenosis</subject><subject>AVNeo</subject><subject>Heart Valve Prosthesis</subject><subject>Humans</subject><subject>Ozaki procedure</subject><subject>Predictive Value of Tests</subject><subject>Preoperative planning</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1934-5925</issn><issn>1876-861X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kE9LxDAQxYMo7rr6BTxIj15a82ebpOBFFl0FYT0oeAtpOtXUtlmTdkE_vVl29ehpHsN7j5kfQucEZwQTftVkjTFDRjElGS4yjOUBmhIpeCo5eT2MumDzNC9oPkEnITQY54JgeYwmbM6jkHyKlk8e3Bq8HuwGktW3_rDJAOa9t58jJB3oMHoIieuTwdvKdtAH63rdJtC_2R7AQ5V454ZTdFTrNsDZfs7Qy93t8-I-fVwtHxY3j6lhOR9SIWQhKlMyhlmOS41zySkp41pSykqmc2lqNhcAQpeUiZpzEKUhpow7CobN0OWud-1dvDAMqrPBQNvqHtwYFM1FwakkBYlWurMa70LwUKu1t532X4pgtQWoGrUFqLYAFS5UBBhDF_v-seyg-ov8EouG650B4pcbC14FY6E3UFkPsaxy9r_-H21lglE</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Pirola, Sergio</creator><creator>Mastroiacovo, Giorgio</creator><creator>Mostardini, Giulia</creator><creator>Bonomi, Alice</creator><creator>Guglielmo, Marco</creator><creator>Muscogiuri, Giuseppe</creator><creator>Baggiano, Andrea</creator><creator>Montisci, Andrea</creator><creator>Pontone, Gianluca</creator><creator>Polvani, Gianluca</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4573-8346</orcidid><orcidid>https://orcid.org/0000-0002-1339-6679</orcidid></search><sort><creationdate>202201</creationdate><title>Preoperative Ozaki technique measures on tridimensional engineered root</title><author>Pirola, Sergio ; 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subjects 3D printing
Aortic Valve - diagnostic imaging
Aortic Valve - surgery
Aortic Valve Stenosis
AVNeo
Heart Valve Prosthesis
Humans
Ozaki procedure
Predictive Value of Tests
Preoperative planning
Retrospective Studies
Treatment Outcome
title Preoperative Ozaki technique measures on tridimensional engineered root
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