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MMA Embolization

Hands-on training for chronic subdural hematoma treatment with MMA embolization

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This learning module is designed for:
Interventional Neuroradiologists - residents, fellows and procoring interventionalists

NV Connect training cases are designed to learn skills essential to cerebral interventional procedures. The module facilitates technical, procedural, and cognitive training and discussions in a risk-free environment for these delicate procedures.

​​Endovascular MMA embolization has emerged as a minimally invasive treatment option for cSDH. The procedure aims to reduce blood flow to the hematoma membrane, promoting hematoma resolution and reducing recurrence rates.​

The MMA embolization case in NV Connect teach specific skills for treatment of chronic subdural hematoma (cSDH), focusing on identifying the MMA origin and all potentially dangerous collaterals, navigating to safe embolization locations, and embolizing using appropriate embolic agent. ​

NV Connect training cases are designed to learn skills essential to cerebral interventional procedures. The module facilitates technical, procedural, and cognitive training and discussions in a risk-free environment for these delicate procedures.

The training cases offer the opportunity to train on a range of neuro-interventional procedures, from the carotid artery and intracranial stenting to thrombectomy and aneurysm treatments (using flow diversion and coiling).

All cases provide all trainees—from beginners to advanced operators—with a risk-free opportunity to perfect both basic navigation skills and procedure-related specific skills and prepare well for the real intervention. NV Connect also allows trainers to set specific training targets, depending on the audience, by setting up benchmarks for each case or using the predefined benchmarks that come with the cases.

The AVM cases teach specific skills for AVM treatment, focusing on the basic steps of locating the main feeders, navigating to the nidus, and embolizing the AVM, including the detection and handling of potential reflux.

Features & Benefits

Key Benefits

Realistic scenario with chronic subdural hematoma

Learn the procedural steps for supra-aortic access and cerebral angiography

Acquire pertinent technical and manipulation skills

Learn how to safely access and navigate the external carotid vasculature​

Possible to use different embolization techniques and materials​

Embolizing the MMA branches, handling reflux and assessing the result

Features & Benefits
  • Actual clinical devices can be used to provide a realistic experience.
  • Quick access – starting with sheath already placed in carotid - available
  • Distal access catheters can be used for facilitating distal navigation
  • Advanced imaging using roadmaps and biplane
  • 3DRA functionality for aneurysm measurements and sizing
  • Detailed metrics for assessment and debriefing
Training Objectives
  • Identify MMA origin from ECA, ophthalmic artery from ICA, and all dangerous collaterals​
  • Access MMA past the foramen spinosum and beyond any dangerous anastomoses confirmed on selective angiography​
  • Embolize anterior frontal and posterior parietal branches using appropriate embolic agent ​
  • Perform final ECA and anterior circulation angiogram to confirm successful embolization and exclude thromboembolic complications​

Workflow

Step 1

Flow Diverter Case planning in Ankyras®

Mentice: Flow Diverter planning in Ankyras
Step 2

Import Case directly into VIST® simulator

Mentice: VIST G7 Virtual Reality Simulation
Step 3

Practice deployment in patient-specific anatomy

Mentice: Wire navigation and flow diverter overlay from Ankyras

Case Layout

  • 701: Type I Aorta, Rightside chronic Subduralhematoma. Embolizationwith liquid embolic, particles or coils.
For case description, please contact us on the form below
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Disclaimer & Regulatory Information

VIST® Ankyras® Flow Diverter Rehearsal is a training solution not intended for clinical use or decision making. Ankyras® is a medical device manufactured by Mentice Spain S.L. Mentice Spain S.L. is ISO 13485 certified. Ankyras® complies with the EU Medical Device Regulation (EU CE Mark, MDR 784032). ANKYRAS® is a medical software intended to assist healthcare professionals in the selection of a proper braided device for treatment of intracranial aneurysms. ANKYRAS® is intended for exclusive use by professional users.