RESUMO
In the recent years, the application of vascular plugs has been widespread in peripheral and aortic interventions. Between December 2013 and December 2014, 4 men, with different complex aortic pathologies (2 remaining aortic dissections and 2 thoracoabdominal aneurysms), successfully underwent endovascular treatment with Amplatzer Vascular Plug (St. Jude; St. Paul, MN). We report the different techniques applied in each case and the benefits of this approach in achieving thrombosis of false lumen, avoiding aneurysmal aorta enlargement and reducing risk of aortic rupture or death. Neither mortality nor complications were registered during a mean follow-up of 18 months.
Assuntos
Aneurisma Aórtico/terapia , Dissecção Aórtica/terapia , Implante de Prótese Vascular , Embolização Terapêutica/instrumentação , Procedimentos Endovasculares , Idoso , Dissecção Aórtica/diagnóstico por imagem , Dissecção Aórtica/cirurgia , Aneurisma Aórtico/diagnóstico por imagem , Aneurisma Aórtico/cirurgia , Aortografia/métodos , Prótese Vascular , Implante de Prótese Vascular/instrumentação , Angiografia por Tomografia Computadorizada , Procedimentos Endovasculares/instrumentação , Desenho de Equipamento , Humanos , Masculino , Pessoa de Meia-Idade , Reoperação , Stents , Resultado do TratamentoRESUMO
Three-dimensional printing (3DP) has recently gained importance in the medical industry, especially in surgical specialties. It uses different techniques and materials based on patients' needs, which allows bioprofessionals to design and develop unique pieces using medical imaging provided by computed tomography (CT) and magnetic resonance imaging (MRI). Therefore, the Department of Biology and Medicine and the Department of Physics and Engineering, at the Bioastronautics and Space Mechatronics Research Group, have managed and supervised an international cooperation study, in order to present a general review of the innovative surgical applications, focused on anatomical systems, such as the nervous and craniofacial system, cardiovascular system, digestive system, genitourinary system, and musculoskeletal system. Finally, the integration with augmented, mixed, virtual reality is analyzed to show the advantages of personalized treatments, taking into account the improvements for preoperative, intraoperative planning, and medical training. Also, this article explores the creation of devices and tools for space surgery to get better outcomes under changing gravity conditions.