Patient-specific computer modelling – its role in the planning of transcatheter aortic valve implantation

详细信息    查看全文

• 作者：N. El Faquir ; B. Ren ; N. M. Van Mieghem ; J. Bosmans…
• 关键词：Aortic valve stenosis ; Transcatheter aortic valve implantation ; Computer simulation
• 刊名：Netherlands Heart Journal
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：25
• 期：2
• 页码：100-105
• 全文大小：1177KB
• 刊物主题：Cardiology; Medical Education;
• 出版者：Bohn Stafleu van Loghum
• ISSN：1876-6250
• 卷排序：25

文摘

Transcatheter aortic valve implantation is increasingly used to treat patients with severe aortic stenosis who are at increased risk for surgical aortic valve replacement and is projected to be the preferred treatment modality. As patient selection and operator experience have improved, it is hypothesised that device-host interactions will play a more dominant role in outcome. This, in combination with the increasing number of valve types and sizes, confronts the physician with the dilemma to choose the valve that best fits the individual patient. This necessitates the availability of pre-procedural computer simulation that is based upon the integration of the patient-specific anatomy, the physical and (bio)mechanical properties of the valve and recipient anatomy derived from in-vitro experiments. The objective of this paper is to present such a model and illustrate its potential clinical utility via a few case studies.