J Shanghai Jiaotong Univ Sci

Journal of Shanghai Jiaotong University(Science) >

2021 , Vol. 26 >Issue 3: 312 - 318

DOI: https://doi.org/10.1007/s12204-021-2298-0

Medical 3D Printing and Personalised Medicine

Application of 3D Digital Reconstruction and Printing to the Diagnosis and Treatment of Iliac Vein Compression

Expand
  • (1. Department of Vascular Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine,
    Shanghai 200011, China; 2. Department of Orthopedics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University
    School of Medicine, Shanghai 200011, China; 3. Image Medraw Technology (Shanghai) Co., Ltd., Shanghai 200240, China)

Online published: 2021-06-02

Supported by

the National Natural Science Foundation
of China (No. 8167440), the Clinical Research Program
of 9th People’s Hospital, Shanghai Jiao Tong University
School of Medicine (No. JYLJ026), and the Class
IV Peak Subject Program of Shanghai Jiao Tong University
School of Medicine (No. GXQ10)

Fold

Abstract

The objective of this research was to explore the feasibility and clinical application of a new diagnostic  imaging method for the diagnosis and treatment of iliac vein compression (IVC) based on three-dimensional (3D)  digital reconstruction and printing. This study included patients with chronic venous disease (CVD) who were  admitted to the Department of Vascular Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University  School of Medicine, from January to March, 2019, and underwent computed tomography venography (CTV) to  detect IVC. CTV findings were used to reconstruct 3D-printed models of blood vessels. A total of 17 patients (5  men and 12 women) with IVC, who were primarily diagnosed with CTV, were included in this study. In addition,  24 significant venous compression sites were found in 17 patients, of which 7 patients had only one compression  site (41.2%), nine patients had two compression sites (52.9%), and one patient had three compression sites (5.9%).  3D digital reconstruction and printing is a convenient, noninvasive, and accurate diagnostic imaging method that  provides a clear and accurate evaluation of veins and arteries, as well as the anatomical positional relationship for  the diagnosis and treatment of IVC.

Cite this article

YANG Chenghao (杨成昊), LU Xinwu (陆信武), JIANG Wenbo (姜闻博), YE Kaichuang (叶开创), ZHAO Zhen (赵振), WANG Xuhui (王旭辉), WANG Penghui (王鹏辉), FEI Yebao (费业宝), WANG Wei (王伟), YIN Minyi (殷敏毅) . Application of 3D Digital Reconstruction and Printing to the Diagnosis and Treatment of Iliac Vein Compression[J]. Journal of Shanghai Jiaotong University(Science), 2021 , 26(3) : 312 -318 . DOI: 10.1007/s12204-021-2298-0

References

[1] MAY R, THURNER J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins [J]. Angiology, 1957, 8(5): 419-427.

[2] RADAIDEH Q, PATEL N M, SHAMMAS N W. Iliac vein compression: Epidemiology, diagnosis and treatment [J]. Vascular Health and Risk Management, 2019, 15: 115-122.

[3] HEIJMEN R H, BOLLEN T L, DUYNDAM D A, et al. Endovascular venous stenting in May-Thurner syndrome [J]. The Journal of Cardiovascular Surgery, 2001, 42(1): 83-87.

[4] YIN M Y, TIAN S, HUANG X T, et al. Role and mechanism of tissue plasminogen activator in venous wall fibrosis remodeling after deep venous thrombosis via the glycogen synthase kinase-3 beta signaling pathway [J]. Journal of Surgical Research, 2013, 184(2): 1182-1195. [5] HARBIN M M, LUTSEY P L. May-Thurner syndrome: History of understanding and need for defining population prevalence [J]. Journal of Thrombosis and Haemostasis, 2020, 18(3): 534-542.

[6] BURKE R M, RAYAN S S, KASIRAJAN K, et al. Unusual case of right-sided May-Thurner syndrome and review of its management [J]. Vascular, 2006, 14(1): 47-50.

[7] ABBOUD G, MIDULLA M, LIONS C, et al. “Rightsided” may-thurner syndrome [J]. CardioVascular and Interventional Radiology, 2010, 33(5): 1056-1059.

[8] KIBBE M R, UJIKI M, GOODWIN A L, et al. Iliac vein compression in an asymptomatic patient population [J]. Journal of Vascular Surgery, 2004, 39(5): 937-943.

[9] KNUTTINEN M G, NAIDU S, OKLU R, et al. May-Thurner: Diagnosis and endovascular management [J]. Cardiovascular Diagnosis and Therapy, 2017, 7(Sup.3): S159-S164.

[10] YIN M Y, HUANG X T, CUI C Y, et al. The effect of stent placement for May-Thurner syndrome combined with symptomatic superficial venous reflux disease [J]. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 2015, 3(2): 168-172.

[11] EKL¨OF B, RUTHERFORD R B, BERGAN J J, et al. Revision of the CEAP classification for chronic venous disorders: Consensus statement [J]. Journal of Vascular Surgery, 2004, 40(6): 1248-1252.

[12] BRINEGAR K N, SHETH R A, KHADEMHOSSEINI A, et al. Iliac vein compression syndrome: Clinical, imaging and pathologic findings [J]. World Journal of Radiology, 2015, 7(11): 375-381.

[13] BIRN J, VEDANTHAM S. May-Thurner syndrome and other obstructive iliac vein lesions: Meaning, myth, and mystery [J]. Vascular Medicine, 2015, 20(1): 74-83.

[14] ZUCKER E J, GANGULI S, GHOSHHAJRA B B, et al. Imaging of venous compression syndromes [J]. Cardiovascular Diagnosis and Therapy, 2016, 6(6): 519- 532.

[15] SHAMMAS N W, RACHWAN R J, DAHER G, et al. Double inferior vena cava and its implications during endovascular and surgical interventions: A word of caution [J]. The Journal of Invasive Cardiology, 2017, 29(2): 51-53.

[16] WHITE J M, COMEROTA A J. Venous compression syndromes [J]. Vascular and Endovascular Surgery, 2017, 51(3): 155-168.

[17] LABROPOULOS N, BORGE M, PIERCE K, et al. Criteria for defining significant central vein stenosis with duplex ultrasound [J]. Journal of Vascular Surgery, 2007, 46(1): 101-107. [18] FRETZ V, BINKERT C A. Compression of the inferior vena cava by the right iliac artery: A rare variant of may-thurner syndrome [J]. CardioVascular and Interventional Radiology, 2010, 33(5): 1060-1063.

[19] SHI W Y, GU J P, LIU C J, et al. Dual compression is not an uncommon type of iliac vein compression syndrome [J]. The International Journal of Cardiovascular Imaging, 2017, 33(9): 1277-1285.

[20] QU Y, AI S T, YANG F, et al. Application of CT/MRI image registration and fusion combined with 3D printing technique in pre-surgical planning of refractory pelvic tumors [J]. Journal of Shanghai Jiao Tong University (Medical Science), 2017, 37(9): 1238-1244 (in Chinese).

[21] QU Y, AI S T, WU W, et al. Preliminary application of 3D printed customized guide in bone tumor biopsy. [J]. Journal of Shanghai Jiao Tong University (Medical Science), 2018, 38(9): 1053-1058 (in Chinese).

[22] LIU G, ZHAO Z, CUI C, et al. Endovascular management of extensive lower extremity acute deep vein thrombosis with AngioJet rheolytic thrombectomy plus catheter-directed thrombolysis from contralateral femoral access [J]. Phlebology, 2019, 34(4): 257-265.

[23] LU XW, LIWM, HUANG Y, et al. The clinical values of subintimal angioplasty for treatment lower extremity arterial occlusions [J]. National Medical Journal of China, 2007, 87(43): 3047-3050.

[24] STRANDNESS D E, SUMNER D S. Hemodynamics for surgeons[M]. New York: Grune and Stratton; 1975: 108-117.

[25] SATOKAWA H, HOSHINO S, IWAYA F, et al. Intravascular imaging methods for venous disorders [J]. International Journal of Angiology, 2000, 9(2): 117- 121.

[26] RAJU S, NEGLEN P. High prevalence of nonthrombotic iliac vein lesions in chronic venous disease: A permissive role in pathogenicity [J]. Journal of Vascular Surgery, 2006, 44(1): 136-144.

[27] LEVITIN A. Intravascular ultrasound [J]. Techniques in Vascular and Interventional Radiology, 2001, 4(1): 66-74.

[28] CAGGIATI A. The left common iliac artery also compresses the left common iliac vein [J]. Journal of Vascular Surgery, 2011, 54(6): 56S-61S.

[29] AYARAJ A, RAJU S. Three-dimensional computed tomography venogram enables accurate diagnosis and treatment of patients presenting with symptomatic chronic iliofemoral venous obstruction [J]. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 2021, 9(1): 73-80.e1.
Options
Outlines

/

〈 〉