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Updated: Apr 3, 2026

Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
An endovascular simulation exercise among radiology residents: comparison of simulation performance with and without
Daniel K Powell1, D Kenneth Jamison2, James E Silberzweig3
1New York Presbyterian, Columbia Campus, Department of Radiology, 622 West 168th Street, PB1-301, New York, NY, 10032.
Purpose:
The purpose was to compare resident endovascular simulator performance with and without prior simulation.
Methods:
Radiology residents were guided through a practice simulation and lectured on endovascular therapy, then randomized to simulate femoral arterial intervention with or without prior iliac simulation. Simulator measurements, performance grading and resident surveys were recorded.
Results:
Prior simulation of iliac intervention significantly improved resident performance. In particular, it resulted in less catheter placement without a wire (P=.01), shorter time to proper catheter positioning (P=.045) and use of oblique digital subtraction angiography (P=.035). Survey respondents valued the experience.
Conclusion:
Endovascular simulator training improves simulation skills. Improvement of real-world performance and generalizability remain to be shown.
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