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Physical Simulators and Replicators in Endovascular Neurosurgery Training

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Comprehensive Healthcare Simulation: Neurosurgery

Part of the book series: Comprehensive Healthcare Simulation ((CHS))

Abstract

The increased adoption of endovascular neurosurgery procedures to treat cerebrovascular pathologies has led to the commercialization of a wide array of medical devices which, in turn, necessitates a more sophisticated training environment for physicians and fellows than the traditional “see one, do one, teach one” concept. Improvements in simulation technology and a changing healthcare culture are facilitating a wider assimilation of benchtop simulation models in lieu of cadaver or animal models in physician training as well as treatment planning. Medical device manufacturers as well as regulators are also increasingly utilizing such simulators for device development and assessment of efficacy. Low-fidelity physical simulacra in the form of simplistic vascular replicas with or without coarse pumping systems have been available for basic neuroendovascular simulations for several years. Additive manufacturing, or 3D printing, has ushered in the use of anatomically accurate vascular replicas derived from patient imaging. Other considerations that improve the fidelity of simulating the neuroendovascular compartment include flows and pressures, catheter friction, blood-analog fluid, X-ray attenuation, etc. This chapter briefly describes these components of high-fidelity physical simulators, called replicators, for endovascular neurosurgery training.

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Acknowledgment

We thank Brandon Kovarovic for his assistance in writing portions of the Flow Pumps section.

Conflict of Interest

All authors have a significant financial interest in Vascular Simulations, LLC.

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Authors and Affiliations

  1. Department of Neurological Surgery, Cerebrovascular Research Center, Stony Brook University Medical Center, Stony Brook, NY, USA

    Chander Sadasivan, Baruch B. Lieber & Henry H. Woo

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  1. Chander Sadasivan
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  2. Baruch B. Lieber
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  3. Henry H. Woo
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Correspondence to Chander Sadasivan .

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  1. Department of Neurosurgery, University of Illinois Hospital & Health Sciences System, Chicago, IL, USA

    Ali Alaraj

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Sadasivan, C., Lieber, B.B., Woo, H.H. (2018). Physical Simulators and Replicators in Endovascular Neurosurgery Training. In: Alaraj, A. (eds) Comprehensive Healthcare Simulation: Neurosurgery. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-319-75583-0_3

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