Carotid Endarterectomy Surgical Simulation Model Using a Bovine Placenta Vessel.

作者: Evgenii G. Belykh , Ting Lei , Magaldi M. Oliveira , Rami O. Almefty , Kaan Yagmurlu

DOI: 10.1227/NEU.0000000000000924

关键词:

摘要: Background Carotid endarterectomy (CEA) is a common, well-developed surgical procedure. Although simulation gaining in importance for residency training, CEA practice opportunities residents are limited. Objective To describe new haptic model. Methods Six bovine placentas were used to create the Each placenta provided about 6 large arterial and venous bifurcations. In total, 36 large-vessel bifurcations dissected prepared simulation. Bovine vessels arranged simulate common carotid artery (CCA), internal (ICA), external (ECA). The diameters wall thicknesses measured compared with human CCA, ICA, ECA parameters. Results All suitable modeling training. Mean ± SD of simulated CCAs, ECAs, ICAs 11.2 1.8, 4.3 0.5, 9.8 3.0 mm, respectively, from nondilated veins 8.7 1.4, 4.4 1.3, 7.2 1.7 arteries. vessel 2.0 0.6 mm arteries 1.4 0.5 veins. Placental tissue had dimensions handling characteristics similar those procedure its subtasks, including vessel-tissue preparation skills performance, could be reproduced high fidelity. Conclusion A training model inexpensive readily available closely resembles can provide convenient valuable addition vascular surgery

参考文章(15)
Hans-Henning Eckstein, Jürg Schmidli, Hardy Schumacher, Lorenz Gürke, Klaus Klemm, Nikolaus Duschek, Toni Meile, Afshin Assadian, Rationale, scope, and 20-year experience of vascular surgical training with lifelike pulsatile flow models. Journal of Vascular Surgery. ,vol. 57, pp. 1422- 1428 ,(2013) , 10.1016/J.JVS.2012.11.113
Rami O. Almefty, Robert F. Spetzler, Avoiding complications after carotid endarterectomy. World Neurosurgery. ,vol. 82, ,(2014) , 10.1016/J.WNEU.2013.09.046
Sandra de Montbrun, Helen MacRae, Simulation in Surgical Education Clinics in Colon and Rectal Surgery. ,vol. 25, pp. 156- 165 ,(2012) , 10.1055/S-0032-1322553
Jean Bismuth, Michael A. Donovan, Marcia K. O'Malley, Hosam F. El Sayed, Joseph J. Naoum, Eric K. Peden, Mark G. Davies, Alan B. Lumsden, Incorporating simulation in vascular surgery education Journal of Vascular Surgery. ,vol. 52, pp. 1072- 1080 ,(2010) , 10.1016/J.JVS.2010.05.093
William P. Robinson, Donald T. Baril, Odette Taha, Andres Schanzer, Anne C. Larkin, Jean Bismuth, Erica L. Mitchell, Louis M. Messina, Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction. Journal of Vascular Surgery. ,vol. 58, pp. 247- 253 ,(2013) , 10.1016/J.JVS.2013.04.052
John F. Eidt, The aviation model of vascular surgery education. Journal of Vascular Surgery. ,vol. 55, pp. 1801- 1809 ,(2012) , 10.1016/J.JVS.2012.01.080
William P. Robinson, Andres Schanzer, Bruce S. Cutler, Donald T. Baril, Anne C. Larkin, Mohammed H. Eslami, Elias J. Arous, Louis M. Messina, A randomized comparison of a 3-week and 6-week vascular surgery simulation course on junior surgical residents' performance of an end-to-side anastomosis Journal of Vascular Surgery. ,vol. 56, pp. 1771- 1781 ,(2012) , 10.1016/J.JVS.2012.06.105
Kazumichi Yoshida, Yoshitaka Kurosaki, Takeshi Funaki, Takayuki Kikuchi, Akira Ishii, Jun C. Takahashi, Yasushi Takagi, Sen Yamagata, Susumu Miyamoto, Surgical Dissection of the Internal Carotid Artery Under Flow Control by Proximal Vessel Clamping Reduces Embolic Infarcts During Carotid Endarterectomy World Neurosurgery. ,vol. 82, ,(2014) , 10.1016/J.WNEU.2013.06.018
F. Rubino, R. Nahouraii, H. Deutsch, W. King, W.B. Inabnet, M. Gagner, Endoscopic approach for carotid artery surgery Surgical Endoscopy and Other Interventional Techniques. ,vol. 16, pp. 789- 794 ,(2002) , 10.1007/S00464-001-8214-7
Alexey V. Kamenskiy, Yuris A. Dzenis, Jason N. MacTaggart, Thomas G. Lynch, Syed A. Jaffar Kazmi, Iraklis I. Pipinos, Nonlinear mechanical behavior of the human common, external, and internal carotid arteries in vivo. Journal of Surgical Research. ,vol. 176, pp. 329- 336 ,(2012) , 10.1016/J.JSS.2011.09.058