Chad Vigil1, Andras Lasso2, Reena M Ghosh3, Csaba Pinter4, Alana Cianciulli1, Hannah H Nam1, Ashraful Abid1, Christian Herz1, Christopher E Mascio5, Jonathan Chen5, Stephanie Fuller5, Kevin Whitehead3, Matthew A Jolley6. 1. Department of Anesthesia and Critical Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. 2. School of Computing, Queen's University, Kingston, Ontario, Canada. 3. Division of Pediatric Cardiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. 4. Pixel Medical, Kingston, Ontario, Canada. 5. Division of Pediatric Cardiac Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. 6. Department of Anesthesia and Critical Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Division of Pediatric Cardiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address: jolleym@email.chop.edu.
Abstract
PURPOSE: Biventricular repair of double-outlet right ventricle (DORV) necessitates the creation of a complex intracardiac baffle. Creation of the optimal baffle design and placement thereof can be challenging to conceptualize, even with 2-dimensional and 3-dimensional images. This report describes a recently developed methodology for creating virtual baffles to inform intraoperative repair. DESCRIPTION: A total of 3 heart models of DORV were created from cardiac magnetic resonance images. Baffles were created and visualized using custom software. EVALUATION: This report demonstrates application of the tool to virtual planning of the baffle for repair of DORV in 3 cases. Models were examined by a multidisciplinary team, on screen and in virtual reality. Baffles could be rapidly created and revised to facilitate planning of the surgical procedure. CONCLUSIONS: Virtual modeling of the baffle pathway by using cardiac magnetic resonance, creation of physical templates for the baffle, and visualization in virtual reality are feasible and may be beneficial for preoperative planning of complex biventricular repairs in DORV. Further work is needed to demonstrate clinical benefit or improvement in outcomes.
PURPOSE: Biventricular repair of double-outlet right ventricle (DORV) necessitates the creation of a complex intracardiac baffle. Creation of the optimal baffle design and placement thereof can be challenging to conceptualize, even with 2-dimensional and 3-dimensional images. This report describes a recently developed methodology for creating virtual baffles to inform intraoperative repair. DESCRIPTION: A total of 3 heart models of DORV were created from cardiac magnetic resonance images. Baffles were created and visualized using custom software. EVALUATION: This report demonstrates application of the tool to virtual planning of the baffle for repair of DORV in 3 cases. Models were examined by a multidisciplinary team, on screen and in virtual reality. Baffles could be rapidly created and revised to facilitate planning of the surgical procedure. CONCLUSIONS: Virtual modeling of the baffle pathway by using cardiac magnetic resonance, creation of physical templates for the baffle, and visualization in virtual reality are feasible and may be beneficial for preoperative planning of complex biventricular repairs in DORV. Further work is needed to demonstrate clinical benefit or improvement in outcomes.
Authors: Csaba Pinter; Andras Lasso; Saleh Choueib; Mark Asselin; Jean-Christophe Fillion-Robin; Jean-Baptiste Vimort; Ken Martin; Matthew A Jolley; Gabor Fichtinger Journal: IEEE Trans Med Robot Bionics Date: 2020-03-26
Authors: Israel Valverde; Gorka Gomez-Ciriza; Tarique Hussain; Cristina Suarez-Mejias; Maria N Velasco-Forte; Nicholas Byrne; Antonio Ordoñez; Antonio Gonzalez-Calle; David Anderson; Mark G Hazekamp; Arno A W Roest; Jose Rivas-Gonzalez; Sergio Uribe; Issam El-Rassi; John Simpson; Owen Miller; Enrique Ruiz; Ignacio Zabala; Ana Mendez; Begoña Manso; Pastora Gallego; Freddy Prada; Massimiliano Cantinotti; Lamia Ait-Ali; Carlos Merino; Andrew Parry; Nancy Poirier; Gerald Greil; Reza Razavi; Tomas Gomez-Cia; Amir-Reza Hosseinpour Journal: Eur J Cardiothorac Surg Date: 2017-12-01 Impact factor: 4.191
Authors: Reena M Ghosh; Matthew A Jolley; Christopher E Mascio; Jonathan M Chen; Stephanie Fuller; Jonathan J Rome; Elizabeth Silvestro; Kevin K Whitehead Journal: 3D Print Med Date: 2022-04-21
Authors: Andras Lasso; Christian Herz; Hannah Nam; Alana Cianciulli; Steve Pieper; Simon Drouin; Csaba Pinter; Samuelle St-Onge; Chad Vigil; Stephen Ching; Kyle Sunderland; Gabor Fichtinger; Ron Kikinis; Matthew A Jolley Journal: Front Cardiovasc Med Date: 2022-09-06