目的 探讨3D打印技术对复杂瘤颈腹主动脉瘤腔内治疗术前评估的可行性和有效性。
方法 获取严重扭曲瘤颈的腹主动脉瘤CT数据，3D打印腹腔干以下腹主动脉和双侧髂总、髂内外动脉，并分析3D打印模型术前评估的效果。
结果 3D打印模型能够术前预测严重扭曲瘤颈的腹主动脉瘤支架释放前后的形态改变情况，并可指导手术方案的选择。
结论 3D打印技术尤其适用于复杂解剖条件腹主动脉瘤的腔内治疗评估。
Citation：
袁丁, 左萧, 黄斌, 周轩, 胡耀, 杨轶, 熊飞, 赵纪春, 康裕建. 3D打印技术辅助复杂瘤颈腹主动脉瘤腔内治疗：附1例报道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(1): 96-98. doi: 10.7507/1007-9424.20150024
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- 1. United Kingdom EVAR Trial Investigators, Greenhalgh RM, Brown LC, et al.Endovascular versus open repair of abdominal aortic aneurysm.N Engl J Med, 2010, 362(20):1863-1871.
- 2. Schanzer A, Greenberg RK, Hevelone N, et al.Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair.Circulation, 2011, 123(24):2848-2855.
- 3. Iwakoshi S, Ichihashi S, Higashiura W, et al.A decade of outcomes and predictors of sac enlargement after endovascular abdominal aortic aneurysm repair using zenith endografts in a Japanese population.J Vasc Interv Radiol, 2014, 25(5):694-701.
- 4. Becquemin JP, Aksoy M, Marzelle J, et al.Abdominal aortic aneurysm sac behavior following Cook Zenith graft implantation:a five-year follow-up assessment of 212 cases.J Cardiovasc Surg (Torino), 2008, 49(2):199-206.
- 5. Tam MD, Laycock SD, Brown JR, et al.3D printing of an aortic aneurysm to facilitate decision making and device selection for endovascular aneurysm repair in complex neck anatomy.J Endovasc Ther, 2013, 20(6):863-867.
- 6. Esses SJ, Berman P, Bloom AI, et al.Clinical applications of physical 3D models derived from MDCT data and created by rapid prototyping.AJR Am J Roentgenol, 2011, 196(6):W683-W688.
- 7. Tam MD, Laycock SD, Bell D, et al.3-D printout of a DICOM file to aid surgical planning in a 6 year old patient with a large scapular osteochondroma complicating congenital diaphyseal aclasia.J Radiol Case Rep, 2012, 6(1):31-37.
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