Evidence map›Paper›PMID 39968976›Full record

SynthesisArquivos brasileiros de cardiologia2024

Impact of 3D Printing on Cardiac Surgery in Congenital Heart Diseases: A Systematic Review and Meta-Analysis.

Davi Shunji Yahiro, Mariana de Paula Cruz, Brenda Ficheira Coelho Ribeiro, Luiza Meireles Teixeira, Maria Fernanda Ribeiro Mendes de Oliveira, Aurea Lúcia Alves de Azevedo Grippa de Souza, Ana Flávia Malheiros Torbey, Juliana Serafim da Silveira, Claudio Tinoco Mesquita

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Arquivos brasileiros de cardiologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Davi Shunji YahiroUniversidade Federal Fluminense, Niterói, RJ - Brasil.ORCID 0000-0002-3988-4304
Mariana de Paula CruzUniversidade Federal Fluminense, Niterói, RJ - Brasil.ORCID 0009-0001-9167-0071
Brenda Ficheira Coelho RibeiroUniversidade Federal Fluminense, Niterói, RJ - Brasil.ORCID 0009-0000-7677-6997
Luiza Meireles TeixeiraUniversidade Federal Fluminense, Niterói, RJ - Brasil.ORCID 0009-0007-4146-0889
Maria Fernanda Ribeiro Mendes de OliveiraUniversidade Federal Fluminense, Niterói, RJ - Brasil.ORCID 0009-0003-6373-1644
Aurea Lúcia Alves de Azevedo Grippa de SouzaUniversidade Federal Fluminense, Niterói, RJ - Brasil.ORCID 0000-0002-5969-8226
Ana Flávia Malheiros TorbeyUniversidade Federal Fluminense, Niterói, RJ - Brasil.ORCID 0000-0001-7935-7966
Juliana Serafim da SilveiraPró-Cardíaco Hospital, Rio de Janeiro, RJ - Brasil.ORCID 0000-0002-7455-4351
Claudio Tinoco MesquitaUniversidade Federal Fluminense, Niterói, RJ - Brasil.ORCID 0000-0002-1466-9413

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital heart disease (CHD) poses significant challenges in surgical management due to the complexity of cardiac anatomy. Three-dimensional (3D) printing has emerged as a promising tool in preoperative planning, intraoperative guidance, and medical education for CHD surgeries.

objectivesWe aimed to systematically review the literature on the utilization and benefits of 3D printing technology in CHD surgical interventions.

methodsA systematic search was conducted across PubMed and EMBASE for studies published up to February of 2024. We included controlled and uncontrolled studies investigating the surgical role of 3D printing in CHD patients. We conducted a single-arm meta-analysis estimating the proportion of change in treatment planning due to the use of 3D printed-models. Moreover, studies that compared 3D printing to conventional care were included into the meta-analysis. A p-value < 0.05 was considered statistically significant.

resultsA total of 21 studies met the inclusion criteria, comprising 444 patients undergoing CHD surgeries with 3D printing assistance. Preoperative planning aided by 3D models led to changing surgical decisions in 35 of 75 cases (51.8%; 95% CI 26.6-77.0%, I2=80.68%, p=0.001) and reduced total operative time in 22.25 minutes in favor of the 3D printing group (95%CI 49.95; 5.80 min, I2=0%, p=0.817) but without statistical significance. Albeit in a smaller sample, other endpoints (mechanical ventilation and ICU time) demonstrated some benefit from the technology but without statistical significance.

conclusionsBy providing personalized anatomical models, 3D printing may facilitate surgical planning and execution. More studies are needed to investigate the effects of 3D printing on reducing intervention, hospitalization, and mechanical ventilation times.

Indexed as

Cardiac Surgical ProceduresHeart Defects, CongenitalPrinting, Three-DimensionalHumansModels, Anatomic

Identifiers

PMID39968976
PMCPMC11634304

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.