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Endovascular Surgical Neuroradiology Simulation

  • Teddy E. Kim
  • Mark B. Frenkel
  • Kyle M. Fargen
  • Stacey Q. Wolfe
  • J. Mocco
Chapter
Part of the Comprehensive Healthcare Simulation book series (CHS)

Abstract

Simulation is rapidly growing as a means of training a new generation of physicians in specific procedural skills. Endovascular surgical neuroradiology is one specialty within neurosurgery that is particularly well suited for simulation-based training. As the procedures are performed with catheters, wire, and similar devices outside of the patient with a visual representation of what is occurring inside the patient on fluoroscopy, endovascular simulators are relatively simple to create. Several studies have shown that simulation courses with supervised practice is an effective platform for teaching cerebral angiography skills. Flow model simulation is a means of learning device techniques in a fluid-based medium. However the complex interactions between wire and catheter, skills dependent on the fluid medium such as contrast injection and embolism prevention, and capturing nuanced, subtle proceduralist hand movements have been extraordinarily difficult to replicate in simulation. In this chapter, we review endovascular simulation, the available literature on endovascular surgical neuroradiology simulation, currently available simulators, and the future role of neuroendovascular simulation in physician practice and training.

Keywords

Angiography Catheter Cerebral aneurysm Endovascular Flow model Neurointerventional surgery Neurosurgery Simulator 

Supplementary material

Video 6.1

A brief demonstration of both digital and traditional flow model angiography simulators (MP4 40634 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Teddy E. Kim
    • 1
  • Mark B. Frenkel
    • 2
  • Kyle M. Fargen
    • 1
  • Stacey Q. Wolfe
    • 1
  • J. Mocco
    • 3
  1. 1.Department of Neurological SurgeryWake Forest UniversityWinston-SalemUSA
  2. 2.Department of NeurosurgeryWake Forest Baptist Medical CenterWinston SalemUSA
  3. 3.Department of Neurological SurgeryMount Sinai HospitalNew YorkUSA

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