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So far, we manually shaped a mandrel by referencing two-dimensional (2D) images of a rotation digital subtraction angiography (DSA) on a computer screen. However, this technique requires a lot of experience, and often involves trial and error. Recently, there have been increasing reports of manual mandrel shaping using a full-scale three-dimensional (3D) model of an aneurysm and its parent artery output by various types of 3D printer. We have further developed this method by producing a hollow model of an aneurysm and its parent artery with a stereolithography 3D printer and inserting a mandrel inside the model to fit and stabilize a microcatheter tip. [Methods] Based on digital imaging and communications in medicine (DICOM) data obtained by rotational DSA, 3D images of an aneurysm and its parent artery were created and converted into standard triangulated language (STL) data. 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A New Method of Microcatheter Heat-Forming for Cerebral Aneurysmal Coiling Using Stereolithography Three-Dimensional Printed Hollow Vessel Models
https://repository.lib.tottori-u.ac.jp/records/4676
https://repository.lib.tottori-u.ac.jp/records/467650735ae3-333d-4d11-b108-3a781faff22c
名前 / ファイル | ライセンス | アクション |
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(C) 2021 Tottori University Medical Press
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-03-17 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A New Method of Microcatheter Heat-Forming for Cerebral Aneurysmal Coiling Using Stereolithography Three-Dimensional Printed Hollow Vessel Models | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題 | cerebral aneurysm | |||||
キーワード | ||||||
主題 | coil embolization | |||||
キーワード | ||||||
主題 | endovascular surgery | |||||
キーワード | ||||||
主題 | microcatheter shape | |||||
キーワード | ||||||
主題 | stereolithography 3D printer | |||||
キーワード | ||||||
言語 | en | |||||
主題 | cerebral aneurysm | |||||
キーワード | ||||||
言語 | en | |||||
主題 | coil embolization | |||||
キーワード | ||||||
言語 | en | |||||
主題 | endovascular surgery | |||||
キーワード | ||||||
言語 | en | |||||
主題 | microcatheter shape | |||||
キーワード | ||||||
言語 | en | |||||
主題 | stereolithography 3D printer | |||||
資源タイプ | ||||||
資源タイプ | journal article | |||||
著者 |
中島, 定男
× 中島, 定男× 坂本, 誠× 吉岡, 裕樹× 宇野, 哲史× 黒崎, 雅道 |
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著者所属(英) | ||||||
en | ||||||
Division of Neurosurgery, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University | ||||||
著者所属(英) | ||||||
en | ||||||
Division of Neurosurgery, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Neurosurgery, Tottori Prefectural Central Hospital | ||||||
著者所属(英) | ||||||
en | ||||||
Division of Neurosurgery, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University | ||||||
著者所属(英) | ||||||
en | ||||||
Division of Neurosurgery, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University | ||||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | [Background] To perform successful coil embolization of cerebral aneurysms, it is crucial to make an appropriately shaped microcatheter tip for an aneurysm and its parent artery. So far, we manually shaped a mandrel by referencing two-dimensional (2D) images of a rotation digital subtraction angiography (DSA) on a computer screen. However, this technique requires a lot of experience, and often involves trial and error. Recently, there have been increasing reports of manual mandrel shaping using a full-scale three-dimensional (3D) model of an aneurysm and its parent artery output by various types of 3D printer. We have further developed this method by producing a hollow model of an aneurysm and its parent artery with a stereolithography 3D printer and inserting a mandrel inside the model to fit and stabilize a microcatheter tip. [Methods] Based on digital imaging and communications in medicine (DICOM) data obtained by rotational DSA, 3D images of an aneurysm and its parent artery were created and converted into standard triangulated language (STL) data. A hollow model was produced by extruding the STL data outward in the normal direction, and then a hole was made at the tip of the aneurysm using these STL data. We output these STL data to a stereolithography 3D printer. After cleaning and sterilizing the model, the mandrel was inserted in the direction of the parent artery through the hole made in the tip of the aneurysm and pushed in, creating the ideal mandrel shape. Twelve cases (14 aneurysms) were included in this study. A microcatheter tip was shaped by this method for patients who were scheduled to undergo coil embolization for an unruptured aneurysm. [Results] In 13 of the 14 aneurysms, the microcatheter was easily guided into the aneurysms in one or two trials, the position of the microcatheter tip in the aneurysm was appropriate, and the stability during coil embolization was high. [Conclusion] Our method differs from the conventional one in that a hollow model made of resin is produced with a stereolithography 3D printer and that the mandrel is shaped by inserting it retrogradely into the hollow model. Using our new method, it will be possible to shape the tip of a microcatheter suitable for safe and stable coil embolization without relying on an operator’s experience. | |||||
書誌情報 |
Yonago Acta Medica en : Yonago Acta Medica 巻 64, 号 1, p. 113-119, 発行日 2021-02-22 |
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出版者 | ||||||
出版者 | Tottori University Medical Press | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 05135710 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00892882 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.33160/yam.2021.02.001 | |||||
権利 | ||||||
権利情報 | (C) 2021 Tottori University Medical Press | |||||
情報源 | ||||||
関連名称 | S. Nakajima, M. Sakamoto, H. Yoshioka, et al. A New Method of Microcatheter Heat-Forming for Cerebral Aneurysmal Coiling Using Stereolithography Three-Dimensional Printed Hollow Vessel Models. Yonago Acta Medica. 2021, 64(1), 113-119. doi:10.33160/yam.202 | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.lib.tottori-u.ac.jp/yam/yam/yam64-1/64-1contents.html | |||||
関連名称 | http://www.lib.tottori-u.ac.jp/yam/yam/yam64-1/64-1contents.html | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.jstage.jst.go.jp/article/yam/64/1/64_2021.02.001/_article/-char/ja | |||||
関連名称 | https://www.jstage.jst.go.jp/article/yam/64/1/64_2021.02.001/_article/-char/ja | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
EISSN | ||||||
13468049 |