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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 |
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creator | Pirola, Sergio Mastroiacovo, Giorgio Mostardini, Giulia Bonomi, Alice Guglielmo, Marco Muscogiuri, Giuseppe Baggiano, Andrea Montisci, Andrea 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 |
format | article |
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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 < .0001). 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. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-77897dcb330350ba058621b7788223b3a58cf347ee7ab237f66e7bc1cb47e2ec3</citedby><cites>FETCH-LOGICAL-c356t-77897dcb330350ba058621b7788223b3a58cf347ee7ab237f66e7bc1cb47e2ec3</cites><orcidid>0000-0002-4573-8346 ; 0000-0002-1339-6679</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34610886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pirola, Sergio</creatorcontrib><creatorcontrib>Mastroiacovo, Giorgio</creatorcontrib><creatorcontrib>Mostardini, Giulia</creatorcontrib><creatorcontrib>Bonomi, Alice</creatorcontrib><creatorcontrib>Guglielmo, Marco</creatorcontrib><creatorcontrib>Muscogiuri, Giuseppe</creatorcontrib><creatorcontrib>Baggiano, Andrea</creatorcontrib><creatorcontrib>Montisci, Andrea</creatorcontrib><creatorcontrib>Pontone, Gianluca</creatorcontrib><creatorcontrib>Polvani, Gianluca</creatorcontrib><title>Preoperative Ozaki technique measures on tridimensional engineered root</title><title>Journal of cardiovascular computed tomography</title><addtitle>J Cardiovasc Comput Tomogr</addtitle><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 < .0001). 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 ; Mastroiacovo, Giorgio ; Mostardini, Giulia ; Bonomi, Alice ; Guglielmo, Marco ; Muscogiuri, Giuseppe ; Baggiano, Andrea ; Montisci, Andrea ; Pontone, Gianluca ; Polvani, Gianluca</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-77897dcb330350ba058621b7788223b3a58cf347ee7ab237f66e7bc1cb47e2ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>3D printing</topic><topic>Aortic Valve - diagnostic imaging</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis</topic><topic>AVNeo</topic><topic>Heart Valve Prosthesis</topic><topic>Humans</topic><topic>Ozaki procedure</topic><topic>Predictive Value of Tests</topic><topic>Preoperative planning</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pirola, Sergio</creatorcontrib><creatorcontrib>Mastroiacovo, Giorgio</creatorcontrib><creatorcontrib>Mostardini, Giulia</creatorcontrib><creatorcontrib>Bonomi, Alice</creatorcontrib><creatorcontrib>Guglielmo, Marco</creatorcontrib><creatorcontrib>Muscogiuri, Giuseppe</creatorcontrib><creatorcontrib>Baggiano, Andrea</creatorcontrib><creatorcontrib>Montisci, Andrea</creatorcontrib><creatorcontrib>Pontone, Gianluca</creatorcontrib><creatorcontrib>Polvani, Gianluca</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiovascular computed tomography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pirola, Sergio</au><au>Mastroiacovo, Giorgio</au><au>Mostardini, Giulia</au><au>Bonomi, Alice</au><au>Guglielmo, Marco</au><au>Muscogiuri, Giuseppe</au><au>Baggiano, Andrea</au><au>Montisci, Andrea</au><au>Pontone, Gianluca</au><au>Polvani, Gianluca</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative Ozaki technique measures on tridimensional engineered root</atitle><jtitle>Journal of cardiovascular computed tomography</jtitle><addtitle>J Cardiovasc Comput Tomogr</addtitle><date>2022-01</date><risdate>2022</risdate><volume>16</volume><issue>1</issue><spage>51</spage><epage>53</epage><pages>51-53</pages><issn>1934-5925</issn><eissn>1876-861X</eissn><abstract>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 < .0001). 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34610886</pmid><doi>10.1016/j.jcct.2021.09.008</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-4573-8346</orcidid><orcidid>https://orcid.org/0000-0002-1339-6679</orcidid></addata></record> |
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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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