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  4. Evaluation of a modular in vitro neurovascular procedure simulation for intracranial aneurysm embolization
 
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Evaluation of a modular in vitro neurovascular procedure simulation for intracranial aneurysm embolization

Publikationstyp
Journal Article
Date Issued
2020-02-01
Sprache
English
Author(s)
Nawka, Marie Teresa  
Spallek, Johanna 
Kuhl, Juliane  orcid-logo
Krause, Dieter  orcid-logo
Buhk, Jan-Hendrik  
Fiehler, Jens  
Frölich, Andreas M. J.  
Institut
Produktentwicklung und Konstruktionstechnik M-17  
TORE-URI
http://hdl.handle.net/11420/4761
Journal
Journal of neuroInterventional surgery  
Volume
12
Issue
2
Start Page
214
End Page
219
Citation
Journal of NeuroInterventional Surgery 12 (2): 214-219 (2020)
Publisher DOI
10.1136/neurintsurg-2019-015073
Scopus ID
2-s2.0-85078184715
Background Rapid development in endovascular aneurysm therapy continuously drives demand for suitable neurointerventional training opportunities. Objective To investigate the value of an integrated modular neurovascular training environment for aneurysm embolization using additively manufactured vascular models. Methods A large portfolio of 30 patient-specific aneurysm models derived from different treatment settings (eg, coiling, flow diversion, flow disruption) was fabricated using additive manufacturing. Models were integrated into a customizable neurointerventional simulator with interchangeable intracranial and cervical vessel segments and physiological circuit conditions ( € HANNES'; Hamburg ANatomic Neurointerventional Endovascular Simulator). Multiple training courses were performed and participant feedback was obtained using a questionnaire. Results Training for aneurysm embolization could be reliably performed using HANNES. Case-specific clinical difficulties, such as difficult aneurysm access or coil dislocation, could be reproduced. During a training session, models could be easily exchanged owing to standardized connectors in order to switch to a different treatment situation or to change from € treated' back to € untreated' condition. Among 23 participants evaluating hands-on courses using a five-point scale from 1 (strongly agree) to 5 (strongly disagree), HANNES was mostly rated as € highly suitable for practicing aneurysm coil embolization' (1.78±0.79). Conclusion HANNES offers a wide variability and flexibility for case-specific hands-on training of intracranial aneurysm treatment, providing equal training conditions for each situation. The high degree of standardization offered may be valuable for analysis of device behavior or assessment of physician skills. Moreover, it has the ability to reduce the need for animal experiments.
Subjects
aneurysm
angiography
catheter
intervention
technique
DDC Class
600: Technology
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