Skip to main content
Top
Published in: Current Cardiovascular Imaging Reports 7/2017

01-07-2017 | Cardiac Computed Tomography (T Villines, Section Editor)

3D Printing from Cardiac Computed Tomography for Procedural Planning

Authors: Mariya Kuk, Dimitris Mitsouras, Karin E. Dill, Frank J. Rybicki, Girish Dwivedi

Published in: Current Cardiovascular Imaging Reports | Issue 7/2017

Login to get access

Abstract

Purpose of Review

Computed tomography (CT)-based three-dimensional (3D) printing is an emerging field in preoperative visualization of the cardiac anatomy, procedure planning, and simulations of heart surgeries. This article summarizes the uses of 3D-printed models in preoperative cardiac procedure planning and intraprocedural navigation during surgeries organized on a case-by-case basis.

Recent Findings

The 3D models have recently been shown to aid in a variety of procedures. Some of these include valvular replacement or repair, management of paravalvular leaks, left atrial appendage closure, myectomy in hypertrophic cardiomyopathy, cardiac aneurysm repair, tumor resection, and surgical planning in congenital heart lesions.

Summary

We anticipate that 3D models will become more accessible, and their utilization will increase in the near future. However, CT-based 3D printing will require further assessment with multicenter-based studies. Multicenter explorations will allow for consensus and standardization of such potentially useful tools, given the vast availability of printing and imaging techniques currently available.
Literature
1.
go back to reference Mitsouras D, Liacouras P, Imanzadeh A, Giannopoulos AA, Cai T, Kumamaru KK, et al. Medical 3D printing for the radiologist. Radiographics. 2015;35:1965–88.CrossRefPubMedPubMedCentral Mitsouras D, Liacouras P, Imanzadeh A, Giannopoulos AA, Cai T, Kumamaru KK, et al. Medical 3D printing for the radiologist. Radiographics. 2015;35:1965–88.CrossRefPubMedPubMedCentral
2.
go back to reference •• Giannopoulos AA, Mitsouras D, Yoo S-J, Liu PP, Chatzizisis YS, Rybicki FJ. Applications of 3D printing in cardiovascular diseases. Nat Rev Cardiol. 2016;13:701–18. This review summarizes the recent applications and developments in 3D printing technology across the different imaging modalities. CrossRefPubMed •• Giannopoulos AA, Mitsouras D, Yoo S-J, Liu PP, Chatzizisis YS, Rybicki FJ. Applications of 3D printing in cardiovascular diseases. Nat Rev Cardiol. 2016;13:701–18. This review summarizes the recent applications and developments in 3D printing technology across the different imaging modalities. CrossRefPubMed
3.
go back to reference Schmauss D, Haeberle S, Hagl C, Sodian R. Three-dimensional printing in cardiac surgery and interventional cardiology: a single-centre experience. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 2015;47:1044–52.CrossRef Schmauss D, Haeberle S, Hagl C, Sodian R. Three-dimensional printing in cardiac surgery and interventional cardiology: a single-centre experience. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 2015;47:1044–52.CrossRef
4.
go back to reference Maragiannis D, Jackson MS, Igo SR, Schutt RC, Connell P, Grande-Allen J, et al. Replicating patient-specific severe aortic valve stenosis with functional 3D modeling. Circ Cardiovasc Imaging. 2015;8:e003626.CrossRefPubMed Maragiannis D, Jackson MS, Igo SR, Schutt RC, Connell P, Grande-Allen J, et al. Replicating patient-specific severe aortic valve stenosis with functional 3D modeling. Circ Cardiovasc Imaging. 2015;8:e003626.CrossRefPubMed
5.
go back to reference Phillips ABM, Nevin P, Shah A, Olshove V, Garg R, Zahn EM. Development of a novel hybrid strategy for transcatheter pulmonary valve placement in patients following transannular patch repair of tetralogy of fallot. Catheter Cardiovasc Interv Off J Soc Card Angiogr Interv. 2016;87:403–10.CrossRef Phillips ABM, Nevin P, Shah A, Olshove V, Garg R, Zahn EM. Development of a novel hybrid strategy for transcatheter pulmonary valve placement in patients following transannular patch repair of tetralogy of fallot. Catheter Cardiovasc Interv Off J Soc Card Angiogr Interv. 2016;87:403–10.CrossRef
6.
go back to reference Ripley B, Kelil T, Cheezum MK, Goncalves A, Di Carli MF, Rybicki FJ, et al. 3D printing based on cardiac CT assists anatomic visualization prior to transcatheter aortic valve replacement. J Cardiovasc Comput Tomogr. 2016;10:28–36.CrossRefPubMed Ripley B, Kelil T, Cheezum MK, Goncalves A, Di Carli MF, Rybicki FJ, et al. 3D printing based on cardiac CT assists anatomic visualization prior to transcatheter aortic valve replacement. J Cardiovasc Comput Tomogr. 2016;10:28–36.CrossRefPubMed
7.
go back to reference Little SH, Vukicevic M, Avenatti E, Ramchandani M, Barker CM. 3D printed modeling for patient-specific mitral valve intervention: repair with a clip and a plug. JACC Cardiovasc Interv. 2016;9:973–5.CrossRefPubMed Little SH, Vukicevic M, Avenatti E, Ramchandani M, Barker CM. 3D printed modeling for patient-specific mitral valve intervention: repair with a clip and a plug. JACC Cardiovasc Interv. 2016;9:973–5.CrossRefPubMed
8.
go back to reference Vukicevic M, Puperi DS, Grande-Allen KJ, Little SH. 3D printed modeling of the mitral valve for catheter-based structural interventions. Ann Biomed Eng. 2016;44:3432.CrossRefPubMed Vukicevic M, Puperi DS, Grande-Allen KJ, Little SH. 3D printed modeling of the mitral valve for catheter-based structural interventions. Ann Biomed Eng. 2016;44:3432.CrossRefPubMed
9.
go back to reference • Wang DD, Eng M, Greenbaum A, Myers E, Forbes M, Pantelic M, et al. Predicting LVOT obstruction after TMVR. JACC Cardiovasc Imaging. 2016;9:1349–52. This article illustrates the usefulness of 3D modeling and printing during transcatheter mitral valve replacement. CrossRefPubMedPubMedCentral • Wang DD, Eng M, Greenbaum A, Myers E, Forbes M, Pantelic M, et al. Predicting LVOT obstruction after TMVR. JACC Cardiovasc Imaging. 2016;9:1349–52. This article illustrates the usefulness of 3D modeling and printing during transcatheter mitral valve replacement. CrossRefPubMedPubMedCentral
11.
go back to reference Dankowski R, Baszko A, Sutherland M, Firek L, Kałmucki P, Wróblewska K, et al. 3D heart model printing for preparation of percutaneous structural interventions: description of the technology and case report. Kardiol Pol. 2014;72:546–51.CrossRefPubMed Dankowski R, Baszko A, Sutherland M, Firek L, Kałmucki P, Wróblewska K, et al. 3D heart model printing for preparation of percutaneous structural interventions: description of the technology and case report. Kardiol Pol. 2014;72:546–51.CrossRefPubMed
12.
go back to reference Gallo M, D’Onofrio A, Tarantini G, Nocerino E, Remondino F, Gerosa G. 3D-printing model for complex aortic transcatheter valve treatment. Int J Cardiol. 2016;210:139–40.CrossRefPubMed Gallo M, D’Onofrio A, Tarantini G, Nocerino E, Remondino F, Gerosa G. 3D-printing model for complex aortic transcatheter valve treatment. Int J Cardiol. 2016;210:139–40.CrossRefPubMed
13.
go back to reference Jung JI, Koh Y-S, Chang K. 3D printing model before and after Transcatheter aortic valve implantation for a better understanding of the anatomy of aortic root. Korean Circ J. 2016;46:588–9.CrossRefPubMedPubMedCentral Jung JI, Koh Y-S, Chang K. 3D printing model before and after Transcatheter aortic valve implantation for a better understanding of the anatomy of aortic root. Korean Circ J. 2016;46:588–9.CrossRefPubMedPubMedCentral
14.
go back to reference Pracon R, Grygoruk R, Dzielinska Z, Kepka C, Dąbrowska A, Konka M, et al. Percutaneous occlusion of the left atrial appendage with complex anatomy facilitated with 3D-printed model of the heart. EuroIntervention J Eur Collab Work Group Interv Cardiol Eur Soc Cardiol. 2016;12:927. Pracon R, Grygoruk R, Dzielinska Z, Kepka C, Dąbrowska A, Konka M, et al. Percutaneous occlusion of the left atrial appendage with complex anatomy facilitated with 3D-printed model of the heart. EuroIntervention J Eur Collab Work Group Interv Cardiol Eur Soc Cardiol. 2016;12:927.
15.
go back to reference Olivieri LJ, Su L, Hynes CF, Krieger A, Alfares FA, Ramakrishnan K, et al. “just-in-time” simulation training using 3-D printed cardiac models after congenital cardiac surgery. World J Pediatr Congenit Heart Surg. 2016;7:164–8.CrossRefPubMed Olivieri LJ, Su L, Hynes CF, Krieger A, Alfares FA, Ramakrishnan K, et al. “just-in-time” simulation training using 3-D printed cardiac models after congenital cardiac surgery. World J Pediatr Congenit Heart Surg. 2016;7:164–8.CrossRefPubMed
17.
go back to reference •• Anwar S, Singh GK, Varughese J, Nguyen H, Billadello JJ, Sheybani EF, et al. 3D printing in complex congenital heart disease: across a Spectrum of age, pathology, and imaging techniques. JACC Cardiovasc Imaging. 2016; doi:10.1016/j.jcmg.2016.03.013. In this article the authors have described the utility of 3D printing methods in patients with congenital heart disease •• Anwar S, Singh GK, Varughese J, Nguyen H, Billadello JJ, Sheybani EF, et al. 3D printing in complex congenital heart disease: across a Spectrum of age, pathology, and imaging techniques. JACC Cardiovasc Imaging. 2016; doi:10.​1016/​j.​jcmg.​2016.​03.​013. In this article the authors have described the utility of 3D printing methods in patients with congenital heart disease
18.
go back to reference Shirakawa T, Koyama Y, Mizoguchi H, Yoshitatsu M. Morphological analysis and preoperative simulation of a double-chambered right ventricle using 3-dimensional printing technology. Interact Cardiovasc Thorac Surg. 2016;22:688–90.CrossRefPubMed Shirakawa T, Koyama Y, Mizoguchi H, Yoshitatsu M. Morphological analysis and preoperative simulation of a double-chambered right ventricle using 3-dimensional printing technology. Interact Cardiovasc Thorac Surg. 2016;22:688–90.CrossRefPubMed
19.
go back to reference • Giannopoulos AA, Steigner ML, George E, Barile M, Hunsaker AR, Rybicki FJ, et al. Cardiothoracic applications of 3-dimensional printing. J Thorac Imaging. 2016;31:253–72. This review discusses recent cardiothoracic applications of 3D printing including the CT based methods. CrossRefPubMed • Giannopoulos AA, Steigner ML, George E, Barile M, Hunsaker AR, Rybicki FJ, et al. Cardiothoracic applications of 3-dimensional printing. J Thorac Imaging. 2016;31:253–72. This review discusses recent cardiothoracic applications of 3D printing including the CT based methods. CrossRefPubMed
20.
go back to reference Rybicki FJ. 3D printing in medicine: an introductory message from the editor-in-chief. 3D iPrinting in Medicine. 2015;1:1.CrossRef Rybicki FJ. 3D printing in medicine: an introductory message from the editor-in-chief. 3D iPrinting in Medicine. 2015;1:1.CrossRef
21.
go back to reference Cai T, Rybicki FJ, Giannopoulos AA, Schultz K, Kumamaru KK, Liacouras P, et al. The residual STL volume as a metric to evaluate accuracy and reproducibility of anatomic models for 3D printing: application in the validation of 3D-printable models of maxillofacial bone from reduced radiation dose CT images. 3D Print Med. 2015;1:2.CrossRef Cai T, Rybicki FJ, Giannopoulos AA, Schultz K, Kumamaru KK, Liacouras P, et al. The residual STL volume as a metric to evaluate accuracy and reproducibility of anatomic models for 3D printing: application in the validation of 3D-printable models of maxillofacial bone from reduced radiation dose CT images. 3D Print Med. 2015;1:2.CrossRef
22.
go back to reference George E, Liacouras P, Rybicki FJ, Mitsouras D. Measuring and establishing the accuracy and reproducibility of 3D–printed medical models. RadioGraphics, in press. George E, Liacouras P, Rybicki FJ, Mitsouras D. Measuring and establishing the accuracy and reproducibility of 3D–printed medical models. RadioGraphics, in press.
23.
go back to reference Christensen A, Rybicki FJ. Maintaining safety and efficacy for 3D printing in medicine. 3D Print Med. 2017;3:1.CrossRef Christensen A, Rybicki FJ. Maintaining safety and efficacy for 3D printing in medicine. 3D Print Med. 2017;3:1.CrossRef
24.
go back to reference Yoo S-J, Thabit O, Kim EK, Ide H, Yim D, Dragulescu A, et al. 3D printing in medicine of congenital heart diseases. 3D Print Med. 2016;2:3.CrossRef Yoo S-J, Thabit O, Kim EK, Ide H, Yim D, Dragulescu A, et al. 3D printing in medicine of congenital heart diseases. 3D Print Med. 2016;2:3.CrossRef
25.
go back to reference Olivieri L, Krieger A, Chen MY, Kim P, Kanter JP. 3D heart model guides complex stent angioplasty of pulmonary venous baffle obstruction in a mustard repair of D-TGA. Int J Cardiol. 2014;172:e297–8.CrossRefPubMed Olivieri L, Krieger A, Chen MY, Kim P, Kanter JP. 3D heart model guides complex stent angioplasty of pulmonary venous baffle obstruction in a mustard repair of D-TGA. Int J Cardiol. 2014;172:e297–8.CrossRefPubMed
26.
go back to reference • Yang DH, Kang J-W, Kim N, Song J-K, Lee J-W, Lim T-H. Myocardial 3-dimensional printing for septal myectomy guidance in a patient with obstructive hypertrophic cardiomyopathy. Circulation. 2015;132:300–1. A description of the case where the 3D printed model generated from cardiac CT provided intuitive information on the LV geometry, allowing preoperative simulation of the surgical myectomy. CrossRefPubMed • Yang DH, Kang J-W, Kim N, Song J-K, Lee J-W, Lim T-H. Myocardial 3-dimensional printing for septal myectomy guidance in a patient with obstructive hypertrophic cardiomyopathy. Circulation. 2015;132:300–1. A description of the case where the 3D printed model generated from cardiac CT provided intuitive information on the LV geometry, allowing preoperative simulation of the surgical myectomy. CrossRefPubMed
27.
go back to reference Valverde I, Gomez G, Gonzalez A, Suarez-Mejias C, Adsuar A, Coserria JF, et al. Three-dimensional patient-specific cardiac model for surgical planning in Nikaidoh procedure. Cardiol Young. 2015;25:698–704.CrossRefPubMed Valverde I, Gomez G, Gonzalez A, Suarez-Mejias C, Adsuar A, Coserria JF, et al. Three-dimensional patient-specific cardiac model for surgical planning in Nikaidoh procedure. Cardiol Young. 2015;25:698–704.CrossRefPubMed
28.
go back to reference Farooqi KM, Saeed O, Zaidi A, Sanz J, Nielsen JC, Hsu DT, et al. 3D printing to guide ventricular assist device placement in adults with congenital heart disease and heart failure. JACC Heart Fail. 2016;4:301–11.CrossRefPubMed Farooqi KM, Saeed O, Zaidi A, Sanz J, Nielsen JC, Hsu DT, et al. 3D printing to guide ventricular assist device placement in adults with congenital heart disease and heart failure. JACC Heart Fail. 2016;4:301–11.CrossRefPubMed
29.
go back to reference • Schmauss D, Schmitz C, Bigdeli AK, Weber S, Gerber N, Beiras-Fernandez A, et al. Three-dimensional printing of models for preoperative planning and simulation of Transcatheter valve replacement. Ann Thorac Surg. 2012;93:e31–3. This manuscript discusses the application of 3D printed models for preoperative planning and simulation of transcatheter valve replacement. CrossRefPubMed • Schmauss D, Schmitz C, Bigdeli AK, Weber S, Gerber N, Beiras-Fernandez A, et al. Three-dimensional printing of models for preoperative planning and simulation of Transcatheter valve replacement. Ann Thorac Surg. 2012;93:e31–3. This manuscript discusses the application of 3D printed models for preoperative planning and simulation of transcatheter valve replacement. CrossRefPubMed
30.
go back to reference Shiraishi I, Kurosaki K, Kanzaki S, Ichikawa H. Development of Suepr flexible replica of congenital heart disease with Stereolithography 3D printing for simulation surgery and medical education. J Card Fail. 2014;20:S180–1.CrossRef Shiraishi I, Kurosaki K, Kanzaki S, Ichikawa H. Development of Suepr flexible replica of congenital heart disease with Stereolithography 3D printing for simulation surgery and medical education. J Card Fail. 2014;20:S180–1.CrossRef
31.
go back to reference Hermsen JL, Burke TM, Seslar SP, Owens DS, Ripley BA, Mokadam NA, et al. Scan, plan, print, practice, perform: development and use of a patient-specific 3-dimensional printed model in adult cardiac surgery. J Thorac Cardiovasc Surg. 2016;153:132–40.CrossRefPubMed Hermsen JL, Burke TM, Seslar SP, Owens DS, Ripley BA, Mokadam NA, et al. Scan, plan, print, practice, perform: development and use of a patient-specific 3-dimensional printed model in adult cardiac surgery. J Thorac Cardiovasc Surg. 2016;153:132–40.CrossRefPubMed
32.
go back to reference Al Jabbari O, Abu Saleh WK, Patel AP, Igo SR, Reardon MJ. Use of three-dimensional models to assist in the resection of malignant cardiac tumors. J Card Surg. 2016;31:581–3.CrossRefPubMed Al Jabbari O, Abu Saleh WK, Patel AP, Igo SR, Reardon MJ. Use of three-dimensional models to assist in the resection of malignant cardiac tumors. J Card Surg. 2016;31:581–3.CrossRefPubMed
33.
go back to reference Schmauss D, Gerber N, Sodian R. Three-dimensional printing of models for surgical planning in patients with primary cardiac tumors. J Thorac Cardiovasc Surg. 2013;145:1407–8.CrossRefPubMed Schmauss D, Gerber N, Sodian R. Three-dimensional printing of models for surgical planning in patients with primary cardiac tumors. J Thorac Cardiovasc Surg. 2013;145:1407–8.CrossRefPubMed
34.
go back to reference Maragiannis D, Jackson MS, Igo SR, Chang SM, Zoghbi WA, Little SH. Functional 3D printed patient-specific modeling of severe aortic stenosis. J Am Coll Cardiol. 2014;64:1066–8.CrossRefPubMed Maragiannis D, Jackson MS, Igo SR, Chang SM, Zoghbi WA, Little SH. Functional 3D printed patient-specific modeling of severe aortic stenosis. J Am Coll Cardiol. 2014;64:1066–8.CrossRefPubMed
35.
go back to reference Garekar S, Bharati A, Chokhandre M, Mali S, Trivedi B, Changela VP, et al. Clinical application and multidisciplinary assessment of three dimensional printing in double outlet right ventricle with remote ventricular septal defect. World J Pediatr Congenit Heart Surg. 2016;7:344–50.CrossRefPubMed Garekar S, Bharati A, Chokhandre M, Mali S, Trivedi B, Changela VP, et al. Clinical application and multidisciplinary assessment of three dimensional printing in double outlet right ventricle with remote ventricular septal defect. World J Pediatr Congenit Heart Surg. 2016;7:344–50.CrossRefPubMed
36.
go back to reference Chaowu Y, Hua L, Xin S. Three-dimensional printing as an aid in Transcatheter closure of Secundum atrial septal defect with rim deficiency: in vitro trial occlusion based on a Personalized heart model. Circulation. 2016;133:e608–10.CrossRefPubMed Chaowu Y, Hua L, Xin S. Three-dimensional printing as an aid in Transcatheter closure of Secundum atrial septal defect with rim deficiency: in vitro trial occlusion based on a Personalized heart model. Circulation. 2016;133:e608–10.CrossRefPubMed
37.
go back to reference Ryan JR, Moe TG, Richardson R, Frakes DH, Nigro JJ, Pophal S. A novel approach to neonatal management of tetralogy of Fallot, with pulmonary atresia, and multiple aortopulmonary collaterals. JACC Cardiovasc Imaging. 2015;8:103–4.CrossRefPubMed Ryan JR, Moe TG, Richardson R, Frakes DH, Nigro JJ, Pophal S. A novel approach to neonatal management of tetralogy of Fallot, with pulmonary atresia, and multiple aortopulmonary collaterals. JACC Cardiovasc Imaging. 2015;8:103–4.CrossRefPubMed
38.
go back to reference Giannopoulos AA, Chepelev L, Sheikh A, Wang A, Dang W, Akyuz E, et al. 3D printed ventricular septal defect patch: a primer for the 2015 Radiological Society of North America (RSNA) hands-on course in 3D printing. 3D Print Med. 2015;1:3.CrossRef Giannopoulos AA, Chepelev L, Sheikh A, Wang A, Dang W, Akyuz E, et al. 3D printed ventricular septal defect patch: a primer for the 2015 Radiological Society of North America (RSNA) hands-on course in 3D printing. 3D Print Med. 2015;1:3.CrossRef
39.
go back to reference Lazkani M, Bashir F, Brady K, Pophal S, Morris M, Pershad A. Postinfarct VSD management using 3D computer printing assisted percutaneous closure. Indian Heart J. 2015;67:581–5.CrossRefPubMedPubMedCentral Lazkani M, Bashir F, Brady K, Pophal S, Morris M, Pershad A. Postinfarct VSD management using 3D computer printing assisted percutaneous closure. Indian Heart J. 2015;67:581–5.CrossRefPubMedPubMedCentral
40.
go back to reference Kiraly L, Tofeig M, Jha NK, Talo H. Three-dimensional printed prototypes refine the anatomy of post-modified Norwood-1 complex aortic arch obstruction and allow presurgical simulation of the repair. Interact Cardiovasc Thorac Surg. 2016;22:238–40.CrossRefPubMed Kiraly L, Tofeig M, Jha NK, Talo H. Three-dimensional printed prototypes refine the anatomy of post-modified Norwood-1 complex aortic arch obstruction and allow presurgical simulation of the repair. Interact Cardiovasc Thorac Surg. 2016;22:238–40.CrossRefPubMed
41.
go back to reference Son KH, Kim K-W, Ahn CB, Choi CH, Park KY, Park CH, et al. Surgical planning by 3D printing for primary cardiac schwannoma resection. Yonsei Med J. 2015;56:1735–7.CrossRefPubMedPubMedCentral Son KH, Kim K-W, Ahn CB, Choi CH, Park KY, Park CH, et al. Surgical planning by 3D printing for primary cardiac schwannoma resection. Yonsei Med J. 2015;56:1735–7.CrossRefPubMedPubMedCentral
42.
go back to reference Otton JM, Spina R, Sulas R, Subbiah RN, Jacobs N, Muller DWM, et al. Left atrial appendage closure guided by Personalized 3D-printed cardiac reconstruction. JACC Cardiovasc Interv. 2015;8:1004–6.CrossRefPubMed Otton JM, Spina R, Sulas R, Subbiah RN, Jacobs N, Muller DWM, et al. Left atrial appendage closure guided by Personalized 3D-printed cardiac reconstruction. JACC Cardiovasc Interv. 2015;8:1004–6.CrossRefPubMed
43.
go back to reference Obasare E, Melendres E, Morris DL, Mainigi SK, Pressman GS. Patient specific 3D print of left atrial appendage for closure device. Int J Cardiovasc Imaging. 2016;32:1495–7.CrossRefPubMed Obasare E, Melendres E, Morris DL, Mainigi SK, Pressman GS. Patient specific 3D print of left atrial appendage for closure device. Int J Cardiovasc Imaging. 2016;32:1495–7.CrossRefPubMed
Metadata
Title
3D Printing from Cardiac Computed Tomography for Procedural Planning
Authors
Mariya Kuk
Dimitris Mitsouras
Karin E. Dill
Frank J. Rybicki
Girish Dwivedi
Publication date
01-07-2017
Publisher
Springer US
Published in
Current Cardiovascular Imaging Reports / Issue 7/2017
Print ISSN: 1941-9066
Electronic ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-017-9420-6