Personalised External Aortic Root Support: an engineering perspective

• Autorzy: Golesworthy T. J.
• Języki publikacji: EN

Abstrakty

EN

Personalised External Aortic Root Support (PEARS) surgery is now an established surgical approach in the management of aortic dilation in patients with Marfan Syndrome and related congenital conditions in which there is asymptomatic dilation of the aortic root/ascending aorta [1, 2, 3, 4, 5]. In establishing this new surgical approach, a number of engineering issues were successfully addressed by a multi disciplinary team combining surgeons, radiologists and engineers. This paper discusses some of the principal engineering challenges facing the team at the feasibility stage of the project.

Słowa kluczowe

EN

PEARS; aorta; aortic root; Marfan syndrome; surgery

PL

aorta; korzeń aorty; zespół Marfana; chirurgia

• Wydawca: Międzynarodowe Stowarzyszenie na rzecz Robotyki Medycznej
• Czasopismo: Medical Robotics Reports
• Rocznik: 2015
• Tom: vol. 4
• Strony: 6--9
• Opis fizyczny: Bibliogr. 10 poz., rys.

Twórcy

autor

Golesworthy T. J.

• Exstent LTD, Tewkesbury, UK

Bibliografia

• [1] The tailor of Gloucester: a jacket for the Marfan’s aorta. Golesworthy T, Lamperth M, Mohiaddin R, Pepper J, Thornton W, Treasure T. 2004, Lancet, Vol. 364, p. 1582.
• [2] Manufacturing and placing a bespoke support for the Marfan aortic root: description of the method and technical results and status at one year of the first ten patients. Pepper J, Golesworthy T, Utley M, Chan J, Ganeshaligan S, Lamperth M, Mohiaddin R, Treasure T. 2010, Interactive Cardivascular and Thoracic Surgery, Vol. 10, pp. 360-65.
• [3] External aortic root support for Marfan syndrome: early clinical results in the first 20 recipients with a bespoke implant. Pepper J, Chan J, Gavino J, Golesworthy T, Mohiaddin R, Treasure T. 2010, Journal of the Royal Society of Medicine, Vol. 103, pp. 370-375.
• [4] Implantation of an individually computer-designed and manufactured external support for the Marfan aortic root. Pepper J, Petrou M, Rega P, Rosendahl U, Golesworthy T, Treasure T. 2013, Multimedia Manual of Cardio-Thoracic Surgery. mmt004
• [5] Personalised External Aortic Root Support (PEARS) compared with alternatives for people with life-threatening genetically determined aneurysms of the aortic root. Treasure T, Pepper J. 2015 Diseases, 3, 2-14; doi:10.3390/diseases3010002
• [6] Ascending Aortic Dilatation Associated With Bicuspid Aortic Valve Pathophysiology, Molecular Biology, and Clinical Implications Thomas M. Tadros, MD, MPH; Michael D. Klein, MD; Oz M. Shapira, MD, March 15, 2016, Circulation
• [7] Early and one-year outcomes of aortic root surgery in Marfan syndrome patients: a prospective, multicenter, comparative study. Coselli JS, Volguina IR, LeMaire SA, Sundt TM, Connoly HM, Stephens EH, Schaff HV, Milewicz DM, Vricella LA, Dietz HC, Minard CG, Miller C. 2014, Journal of Thoracic and Cardiovascular Surgery, Vol 147, pp 1758-66.
• [8] “Reducing fear and the risk of death in Marfan syndrome: a Chaucerian pilgrimage”, Tal Golesworthy, Tom Treasure, Michael Lamperth, John Pepper, July/August 2006, The British Journal of Cardiology
• [9] Medical Image Acquisition for Modelling a Personalised External Aortic Root Support, T Golesworthy, Jan 2015, Exstent Ltd, Manufacturing Work Instruction
• [10] A comparison of Rapid Prototyping Technologies, D T Pham & R S Gault, October 1998, International Journal of Machine Tools and Manufacture, Vol 38, Issues.

Uwagi

PL

Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2021).