Coronary Essentials

Hands-on training for essential interventional skills

 
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Transarterial Chemoembolization (TACE)

Hands-on training for liver embolization

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The Mentice Transarterial Chemoembolization (TACE) simulation training software helps interventional radiologists (IRs) optimize their liver embolization procedural skills and competencies.

TACE is a complex procedure requiring advanced technical skills and involves extensive use of radiation. The challenge is to perform the procedure in a time-efficient way, within the permitted radiation dose, thus reducing overall costs and maintaining patient and operator safety. Current methods of teaching TACE involve conventional apprentice-based training which is costly, resource-intensive and can have an impact on patient safety.

The Mentice solution addresses all of these issues and more by offering hands-on simulated training for interventional radiologists (IRs), in a completely safe and reproducible environment. In addition, the TACE software provides advanced metrics and expert guidance so users can independently practice and assess their progress— reducing workload for proctors and allowing trainees to arrive with a higher level of knowledge and well prepared for cath lab training. This dramatically reduces the time needed to train. Based on actual clinical cases, the solution has the realism needed to instill confidence and provide a foundation for procedural success. 

TACE-3D Liver 05048-01 04.20

 

 
Features & Benefits

  • Key Benefits
    •  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

  • Features & Functionalities
    • 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

  • Training Objectives
    • 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

  • Case Layout
    6 interactive cases
    • 1 case is fully guided
    • 5 cases contain different anatomical variations, tumors
      and techniques
 
Related Products

lee

Dr. Kwan Lee

University Chief of Clinical Cardiology

University of Arizona College of Medicine

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The ability to remotely introduce complications in real-time while trainees are performing a procedure on the Mentice simulator tremendously enhances the learning experience and brings simulation even closer to reality.

 

 

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