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Updated: Jan 18, 2026

Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
Simmons Angled microguidewire INsertion to the Target (SAINT) technique in neuroendovascular therapy
Bikei Ryu1, Shinsuke Sato1, Tatsuya Inoue2
1Department of Neuroendovascular therapy, St. Luke's International Hospital, 9-1, Akashi-cho, Chuo-ku, 104-8560 Tokyo, Japan; Department of Neurosurgery, St. Luke's International Hospital, 9-1, Akashi-cho, Chuo-ku, 104-8560 Tokyo, Japan.
Abstract:
Advancing appropriate microcatheters is essential for treatment. However, we still encounter inaccessible arterial branches because of the anatomical arrangement. While many successful techniques regarding microcatheters have been reported, there have been very few reports of microguidewire-shaping techniques. We developed the Simmons-Angled microguidewire INsertion to the Target (SAINT) technique for insertion of the microguidewire into inaccessible arterial branches. The SAINT technique is feasible for selection and insertion into arteries that are inaccessible with conventional methods.

