Three-Dimensional Printing Facilitates Successful Endovascular Closure of a Type II Abernethy Malformation Using an Amplatzer Atrial Septal Occluder Device

Jeffrey Forris Beecham Chick; Shilpa N Reddy; Alice C Yu; Tatiana Kelil; Ravi N Srinivasa; Kyle J Cooper; Wael E Saad

doi:10.1016/j.avsg.2017.02.012

Three-Dimensional Printing Facilitates Successful Endovascular Closure of a Type II Abernethy Malformation Using an Amplatzer Atrial Septal Occluder Device

Ann Vasc Surg. 2017 Aug:43:311.e15-311.e23. doi: 10.1016/j.avsg.2017.02.012. Epub 2017 May 11.

Authors

Jeffrey Forris Beecham Chick¹, Shilpa N Reddy², Alice C Yu³, Tatiana Kelil⁴, Ravi N Srinivasa⁵, Kyle J Cooper⁵, Wael E Saad⁵

Affiliations

¹ Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, MI. Electronic address: jeffreychick@gmail.com.
² Radiology Associates of the Main Line, Division of Vascular and Interventional Radiology, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, PA.
³ School of Medicine, Case Western Reserve University, Cleveland, OH.
⁴ Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
⁵ Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, MI.

PMID: 28502889
DOI: 10.1016/j.avsg.2017.02.012

Abstract

Type II Abernethy malformations, characterized by side-to-side portosystemic shunting with preserved intrahepatic portal venous system, have been treated with shunt closure surgically and endovascularly. Three-dimensional printing has been used to develop highly accurate patient-specific representations for surgical and endovascular planning and intervention. This innovation describes 3-dimensional printing to successfully close a flush-oriented type II Abernethy malformation with discrepant dimensions on computed tomography, conventional venography, and intravascular ultrasound, using a 12-mm Amplatzer atrial septal occluder device.

Publication types

Case Reports

MeSH terms

Angiography, Digital Subtraction
Child
Computed Tomography Angiography
Endovascular Procedures / instrumentation*
Humans
Liver Circulation
Male
Models, Anatomic*
Models, Cardiovascular*
Patient-Specific Modeling*
Phlebography / methods
Portal Vein / abnormalities*
Portal Vein / diagnostic imaging
Portal Vein / physiopathology
Printing, Three-Dimensional*
Prosthesis Design
Septal Occluder Device*
Treatment Outcome
Ultrasonography, Interventional
Vascular Malformations / diagnostic imaging
Vascular Malformations / physiopathology
Vascular Malformations / therapy*