Gefäßmedizin in der Zukunft – Möglichkeiten mit 3D-Druckverfahren

Zusammenfassung

Die Digitalisierung der Chirurgie ist eine der richtungsweisenden Herausforderungen der aktuellen und kommenden Chirurgengenerationen. Für das Gebiet der Gefäßmedizin steht mit dem 3D-Druck eine digitale Technologie zur Verfügung, deren Implementierungsmöglichkeit interessante Perspektiven bietet und evaluiert werden muss. Die 3D-Drucktechnologie erlaubt neben dem Einsatz zu Aufklärungs-, Trainings- und Simulationszwecken auch die Herstellung von patientenindividuellen OP-Schablonen und Implantaten. In unserer Klinik wird diese Technologie derzeit in den Bereichen Operationsplanung bei komplexer Gefäßmorphologie, Patientenaufklärung und zu Trainingszwecken verwendet. Die aktuellen industriellen Weiterentwicklungen hinsichtlich Softwarelösungen, Materialpalette und Druckereigenschaften lassen eine deutliche Vereinfachung des Herstellungsprozesses von patientenindividuellen 3D-Modellen und eine Expansion der Anwendungsmöglichkeiten erwarten.

Abstract

Digitalisation is one of the key challenges in current surgery and will impact the future of surgical care as well as upcoming generations of surgeons. 3D printing is a technology that has recently been transferred from industrial prototyping into cardiovascular medicine. The digital model of the anatomical structure which needs to be engineered represents the inherent link of 3D printing to digital medicine. 3D printing technology is able to provide the surgeon with patient-specific models of anatomy and disease for surgical planning and patient informed consent as well as training templates for students and residents, surgical templates and even ready-to-use surgical implants. In our service, we have established a full-inhouse workflow for 3D printing and we currently use this technology for the generation of patient-specific models, training templates and for patient education, as will be presented in this article. Future advances in software solutions, printing polymers and easy-to-handle printers will further propagate and expand the applicability of this technology in cardiovascular medicine.

Schlüsselwörter

3-D-Druck - Chirurgie 4.0 - endovaskuläre Aneurysmatherapie - Simulation - Patientenaufklärung

Key words

3D printing - surgery 4.0 - endovascular aneurysm repair - simulation - patient education

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