•  The only way to train TACE without training on patients
•  Integrated guidance helps reduce time spent on proctoring
•  Helps to increase productivity by reducing procedural times
•  Improves awareness of ALARA principles
•  Lowers the risk of complications
•  Reduces the TACE learning curve for residents and fellows

• Ability to use real clinical devices
•  Different hepatic anatomies covering most common variations
•  Identification of relevant arteries
•  Tumors supplied by multiple feeding arteries
•  Advanced imaging with DSA and 3D overlay
•  Different embolic agents including ethiodized oil, microspheres, drug-eluting particles, gelatin sponge, and Y-90 microspheres
•  Arterial flow depends on level of embolization
•  Various complications including non-target embolization and venous shunt
•  Visualization of non-target embolization
•  Detailed metric report for learning review
•  Record and export cine loops for review and debriefing.
•  Live dose readings and visualizations to manage radiation exposure
•  Coiling of branches to avoid non-target embolization
•  Tumors varying in size, number and location

• Angiographic assessment of arteries supplying the liver
•  Selectively catheterize the feeding arteries of the tumor
•  Prevent non-target embolization to organs or healthy tissue
•  Perform different embolization techniques – TAE, cTACE, DEB-TACE, B-TACE, SIRT/TARE
•  Demonstrate safe and efficient embolization techniques
•  Ability to perform in accordance with ALARA principles
•  Recognize and manage complications
•  Select appropriate devices for catheterization of the major branches of the abdominal aorta
•  Safely and efficiently catheterize the major branches of the abdominal aorta
•  Identify all relevant arteries
•  Manipulate C-arm projection and collimation to assess the feeding arteries of the tumor
•  Select appropriate devices for catheterization of the hepatic arteries and its branches
•  Demonstrate coiling of branches to avoid non-target embolization
•  Select appropriate embolic dependent on situation
•  Choose appropriate concentration of chemotherapeutic drug
•  Choose appropriate sized embolization particles
•  Embolize the gastroduodenal artery to avoid non-target embolization during SIRT/TARE
•  Perform lobar embolization
•  Recognize signs of successful embolization
•  Avoid non-target embolization resulting from backflow

6 interactive cases

• 1 case is fully guided
• 5 cases contain different anatomical variations, tumors
  and techniques

• Prostatic Artery Embolization (PAE)
• Uterine Artery Embolization (UAE/UFE)

Simulators

• VIST^® G5
• VIST^® G7 & G7⁺
• VIST^® One TEE
• VIST^® Radiation Safety

Extensions & Peripherals

• VIST^® Lab
• VIST^® Handle 1
• VIST^® One TEE Add-On
• VIST^® G5 or G7 Extension
• VIST^® Control Box

Software

• Case-It
• Learning Management System
• Radiation Safety

Partners

• Laredal SimMan^® Vascular
• VIST^® Virtual Patient