Below the Knee Intervention
Hands-on training for critical limb ischemia
Hands-on training for critical limb ischemia
Mentice Below-the-knee (BTK) Intervention provides ongoing education to the multidisciplinary teams to ensure proper care of patients with Critical Limb Ischemia (CLI). Non-healing wounds in the lower leg are complicated to treat and may lead to limb loss, a devastating event in life with profound physical and psychological consequences. The module provides a training opportunity for limb-salvaging procedures in critical ischemia, in a learner focused and risk-free environment.
The BTK module assumes basic experience in peripheral angiography and familiarity with interventional devices and associated techniques. It provides staged training for students at different experience levels and covers how to gain access to and treat lesions in all main vessels of the lower leg. For the more advanced physicians, handling of perforations and pedal-plantar loop techniques are included as well as a platform for discussions of the angio suite concept.
Treatment planning based on patient scenarios
Understand and discuss different puncture sites
Introduction to clinical devices for below-the-knee intervention
Acquisition of technical and manipulation skills
Image and radiation management below the knee
Discussion of angiosomes and drug-eluting balloons
Complete clinical scenarios for patient-oriented learning
• Patient interaction with option to rotate patient’s leg
• Realistic haptic feedback during crossing of lesions and CTOs
• Support for pedal-plantar loop technique
• Different antegrade and retrograde access points
• Complication management of perforations
• 3D anatomy for enhanced learning
• Radiation management including DSA, roadmaps and collimation
• Realistic device behavior requiring appropriate device selection
• Detailed metrics for assessment and debriefing
• Select appropriate devices for recanalization
• Review angiography prior to treatment
• Train exchanging .035”, .018” and .014” guide wire platforms
• Navigate wire through an occluded lesion
• Use different devices to cannulate CTO lesions
• Safely advance PTA balloon and eventually stents into the lesions
• Change of strategy in case of difficulties
• Access the lesion via transplantar loop
• Perform PTA and optional bailout stenting in case of failure
VIST® G7 and G7+
Image-guided procedural VR trainer for clinicians and medical professionals
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