Patient-specific simulation in carotid artery stenting

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Presentation transcript:

Patient-specific simulation in carotid artery stenting Willem Willaert, MD, Rajesh Aggarwal, PhD, Colin Bicknell, MD, Mo Hamady, MD, Ara Darzi, MD, Frank Vermassen, PhD, Nicholas Cheshire, MD Journal of Vascular Surgery Volume 52, Issue 6, Pages 1700-1705 (December 2010) DOI: 10.1016/j.jvs.2010.08.015 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Set up of the Simbionix Angiomentor Express Simulator in the angiography suite before performing a patient-specific procedure rehearsal. Components include the (1) video camera (for recording hands); (2) fluoroscopy monitor; (3) laptop computer; (4) mechanical interface “haptics” device; and (5) sheath through which endovascular tools are inserted. Journal of Vascular Surgery 2010 52, 1700-1705DOI: (10.1016/j.jvs.2010.08.015) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Set up of the simulator in the laboratory environment. Journal of Vascular Surgery 2010 52, 1700-1705DOI: (10.1016/j.jvs.2010.08.015) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Top, Set up of the simulator in the simulated operating suite (SOS), (lower left) with team practice in the SOS and (lower right) performing the real case in the angiography suite. Journal of Vascular Surgery 2010 52, 1700-1705DOI: (10.1016/j.jvs.2010.08.015) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 An abbreviated example of the questionnaire to assess each team member's opinion on simulation realism and its value with regard to technical, team, and communications issues. Journal of Vascular Surgery 2010 52, 1700-1705DOI: (10.1016/j.jvs.2010.08.015) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 Left, Real patient angiographic images of the (top) aortic arch and (bottom) left internal carotid artery. Right, Same vessels in the virtual reality simulation. Journal of Vascular Surgery 2010 52, 1700-1705DOI: (10.1016/j.jvs.2010.08.015) Copyright © 2010 Society for Vascular Surgery Terms and Conditions