Mentice Neurovascular Coiling is designed to learn skills essential to cerebral interventional procedures. The module facilitates technical, procedural and cognitive training and discussions in a complete risk-free environment for these delicate procedures.

The Neurovascular Coiling Module offers the opportunity to treat cerebral aneurysms of different size, shape and location prior to patient procedures and with different strategies (balloon-/stent-assisted coiling).

Psychomotor skills, patient assessment and procedural decisions may be implemented by a learner and reviewed by the instructor to optimize the training time. Using VIST® Case-It, you can even import patient specific CT data and create your own case library for training.

 

Key Benefits

  • Procedural planning based on patient scenarios
  • Learn the procedural steps for cerebral angiography
  • Acquire pertinent technical and manipulation skills
  • Safely access and navigate the cerebral vasculature
  • Teaches balloon- and stent assisted coiling

 

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[fa icon="plus-square"] Features and Functionalities
  • Actual clinical devices can be used for realistic experience
  • Operator defined outcomes; no predetermined procedure pathway
  • Clinical scenarios require patient-oriented approach to treatment
  • Complete procedure route from access site to treatment site
  • Medications administered for complete procedure performance
  • ECG and vital signs contribute to procedure environment
  • Procedural complications (perforation, dissection, spasm)
  • BRT & SACT for assistance during coiling
  • Advanced imaging using roadmaps and biplane
  • 3DRA functionality for sizing and anatomy study
  • 13 Cases with different aneurysm locations and scenarios
  • Anatomically and hemodynamically precise simulation
  • Genuine resistance encountered with over-sizing or over-filling of the aneurismal sac
  • Fill rate calculated based on coil selections and deployment
  • Detailed metrics for assessment and debriefing
  • VIST® Case-It support makes it possible to import user’s own cases or build cases using existing anatomy library
[fa icon="plus-square"] Training Objectives
  • Perform a safe carotid/vertebral access in different aortic arch types (e.g. avoiding vessel scraping, advancing wire without fluoroscopy)
  • Manipulate C-arm projection (incl. biplane) and magnification for assessing the aneurysm
  • Select and deploy coils with appropriate diameter and length
  • Understand the need for balloon-assistance during coiling
  • Perform the balloon remodeling technique (BRT)
  • Correctly and carefully size, deploy and cannulate stents
  • Safely perform stent-assisted coiling (SACT, trans-cell)
  • Demonstrate safe device manipulation inside the aneurysm and managing related complications
  • Understand and handle complications during distal access in tortuous cerebral anatomy
  • Experience filling resistance of the aneurysm via microcatheter behavior
  • Manage stent related complications during coiling