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An approach to EVAR simulation using patient specific modeling.

Gavin R Davis1, Karl A Illig1, George Yang1

  • 1Division of Vascular & Endovascular Surgery, USF Health Morsani School of Medicine, Tampa, FL.

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|June 10, 2014
PubMed
Summary
This summary is machine-generated.

The Simbionix Angiomentor Procedure Rehearsal Studio (PRS) offers accurate virtual anatomy for endovascular aneurysm repair (EVAR) device selection. This simulation tool provides high-fidelity, patient-specific preoperative EVAR case rehearsal opportunities.

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Area of Science:

  • Medical Simulation
  • Vascular Surgery
  • Medical Imaging

Background:

  • The Simbionix Angiomentor Procedure Rehearsal Studio (PRS) provides virtual anatomy for endovascular aneurysm repair (EVAR) device selection and deployment.
  • Accurate measurements and virtual modeling are crucial for successful EVAR procedures.

Purpose of the Study:

  • To evaluate the accuracy of the Simbionix Angiomentor PRS for EVAR device selection and preoperative planning.
  • To assess the impact of intraoperative measurements and 3D anatomic overlay on device selection during simulated EVAR.

Main Methods:

  • Ten EVAR cases were reviewed, and DICOM data were loaded into the Simbionix Angiomentor simulator.
  • Centerline measurements (neck diameter, iliac artery diameter, and length) were recorded using PRS software.
  • Simulated EVAR was performed, and device selection changes were compared to the gold standard of actual devices used.

Main Results:

  • Fifty percent of cases required changes in device length based on simulated "in vivo" measurements.
  • No significant differences were found in measurements (diameter, length) between simulated and actual EVAR parameters.
  • While realism was rated lower (2.3/5) due to ease of wire passage, imaging quality (3.7/5) and final product (3.4/5) were rated favorably.

Conclusions:

  • The PRS software, utilizing centerlines, angiographic measurements, and 3D modeling, accurately approaches real-life EVAR device selection.
  • The simulator offers a valuable opportunity for high-fidelity, patient-specific preoperative EVAR case rehearsal.
  • The tool shows promise for improving EVAR planning and potentially patient outcomes.