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Table 1 Study characteristics, patient demographics and postoperative clinical outcomes

From: The application of 3D printing in preoperative planning for transcatheter aortic valve replacement: a systematic review

Reference

Study design

Cardiovascular profile

TAVR intervention

Patient

Outcomes / Complications

Complication / Study aim(s)

Recruitment [Retrospective (R)/ Prospective (P)]

Number of participants

Age range

Gender (%): male(M) / female (F)

AS Severity

Surgical risk score

In vivo

In 3D model

Schmauss et al., 2012 [39]

CAO

R

1

70

M: 100%

Severe—very severe

N/A

26-mm B-E Sapien

26-mm B-E Sapien

Death due to CAO

Ripley et al., 2016 [32]

PVL

R

16

69–91

F: 31%

M: 69%

N/A

N/A

B-E Sapien / Sapien 3

Re-ballooning on 6 occasions

3D printed closed based valve, valve diameter same as in vivo

7 mild PVL, 2 Moderate PVL, 7 no PVL

Fujita et al., 2016 [43]

Risk of injury to prosthetic mitral valve

P

1

82

F: 100%

Severe

STS—7.6%

26-mm B-E Sapien XT, delivered via the same diameter guidewire as in vitro

Guidewire with small curve: 42 mm

Uneventful TAVI

Qian et al., 2017 [37]

PVL

R

18

56–95

F: 56%

M: 44%

N/A

N/A

First and second-generation S-E CoreValve, Re-ballooning in 7 cases

Same as in vivo

6 none, 5 trace-to-mild, 6 moderate, 1 moderate-severe PVL. Post-ballooning reduced significant PVL in 3 cases

Hosny et al., 2018 [36]

Prediction of valve size used in vivo,

PVL

R

30

71–92

F: 57%

M: 43%

N/A

N/A

B-E Sapien or Sapien XT, S-E CoreValve or Core Evolut R, S-E St. Jude Portico

3D printed valve sizer based on Sapien XT specifications

15 with at least mild PVL and 15 with no PVL

Tanaka et al., 2018 [33]

PVL

R

6

68–88

F: 83%

M: 17%

Severe

N/A

23-mm B-E Sapien XT, ad hoc post-dilation on 2 cases

23-mm B-E Sapien XT, filling volume of deployment balloon and ad hoc post-dilation as in vivo

3 mild, 1 mild-moderate, 1 moderate,1 moderate-severe PVL

1 died 1.3 years post-TAVR due to considerate amount of PVL due to undersized valve

Yaku et al., 2018 [42]

Safety of TAVR for a patient with high risk of injury to aorta

P

1

90

F: 100%

Severe

N/A

23-mm B-E Sapien 3

26-mm B-E Sapien 3, 29-mm S-E CoreValve Evolut R

Uneventful TAVR

Post-op CT on day 7: no changes in the intramural haematoma. Patient doing well at 6 months

Hatoum et al., 2019 [40]

CAO

R

1

80

M: 100%

Severe—very severe

N/A

29-mm B-E Sapien 3

26, 29-mm B-E Sapien 3, 31-mm S-E CoreValve implanted in normal, supra- and sub-annular depth

Left CAO

Zhang et al., 2019 [38]

CAO and aortic annulus rapture

R

4

N/A

N/A

N/A

N/A

B-E Sapien XT

Non-valve stent model consistent with B-E Sapien XT size and radial force support specifications. Balloon valvuloplasty and balloon dilation performed as in vivo

2 died of CAO, 2 died of aortic annular rupture

Haghiashtiani et al., 2020 [41]

New-onset conduction disturbances

R

1

N/A

N/A

N/A

N/A

29-mm S-E CoreValve Evolut R at intermediate height

29-mm S-E CoreValve Evolut R at intermediate, shallow and deep height and 26-, 29-, 31-mm S-E Evolut R at intermediate height

One patient with new-onset conduction disturbance

Reiff et al., 2020 [35]

PVL

R

20

74–84

F: 30%

M: 70%

N/A

STS—6.6%

23, 26-mm B-E Sapien XT

Same Implantation depth and valve type as in vivo. Nominal volume for balloon expansion

10 no PVL, 9 mild, and 1 moderate PVL

Thorburn et al., 2020 [34]

PVL

R

5

68–87

F: 20%

M: 80%

N/A

N/A

B-E Sapien 3

Same valve type, size and implantation depth as in vivo

All patients had either none or trivial PVL

Redondo et al., 2021 [44]

Alignment of native and TAV commissures

P

3

N/A

N/A

Severe

N/A

S-E ACURATE neo valve as in vitro

S-E ACURATE neo valve

No commissural misalignment or coronary ostia obstruction reported

  1. STS Society of Thoracic Surgeons