Document Detail


Microsurgical cerebral aneurysm training porcine model.
MedLine Citation:
PMID:  21339668     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The authors developed a simple reproducible technique for aneurysm creation and adapted it to mimic intracranial dissection conditions using glue application as a pseudo-arachnoid type layer. Ten 1-2-month-old healthy domestic swine were employed under general anesthesia. A novel technique for bifurcation aneurysm creation was developed using two arteries and a vein. After aneurysm creation, diluted sulfuric acid was applied on the dome with a micropipette to increase aneurysm fragility in selected zones. The surgical field was then dried and contact glue was applied around the vascular complex in a circular manner so as to emulate arachnoidal connection fibers. Microsurgical dissection of the aneurysm and surrounding vessels was performed by delicately removing the adhesive substance. Diverse aneurysm clipping techniques, emergency rupture situations and vascular reconstruction procedures were trained. Twenty-two aneurysms were created at several vascular sites, one aneurysm dome ruptured during application of sulfuric acid, two aneurysm models were proved to be thrombosed, two aneurysms ruptured during the dissection and no intraoperative deaths occurred. All aneurysms were clipped in an acceptable manner. This bifurcation aneurysm model provides a novel training system to be used not only by neurosurgeons but also by neurovascular interventionists.
Authors:
Jon Olabe; Javier Olabe; Jose Roda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology India     Volume:  59     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-02-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  78-81     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, University Hospital Son Dureta, Palma de Mallorca, Spain.
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