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Updated: Jan 27, 2026

Simulator Training for Endovascular Neurosurgery
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Validation of simulator-based neuroangiographical training.

Elle Vermeulen1, Ramon Torné2,3, Ebba Katsler4

  • 1Department of Neurosurgery, University Hospital of Brussels, Laarbeeklaan 101, 1090, Jette, Belgium.

Brain & Spine
|January 26, 2026
PubMed
Summary
This summary is machine-generated.

Simulator-based training effectively enhances neuroendovascular angiography and coiling skills. Trainees demonstrated significant improvement, approaching expert proficiency with practice, highlighting simulators

Keywords:
AngiographyNeurosurgical trainingSimulator

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Area of Science:

  • Neurosurgery
  • Medical Simulation
  • Endovascular Techniques

Background:

  • Traditional neuroendovascular angiography training relies on hands-on experience, often limited by patient availability and procedural complexity.
  • Mastery of angiographic techniques requires high precision and technical expertise.
  • The need for effective and accessible training methods is critical in neurosurgery.

Purpose of the Study:

  • To evaluate the effectiveness of simulator-based training for neuroangiography.
  • To determine the role of simulators in improving procedural proficiency.
  • To assess the potential integration of simulator training into neuroendovascular curricula.

Main Methods:

  • Twenty-two trainees and ten experts performed diagnostic angiography and coiling on an endovascular simulator (Angio Mentor).
  • Data collected included procedure time, fluoroscopy time, contrast volume, roadmap sequences, and errors.
  • Learning curves and group performance were analyzed.

Main Results:

  • A steep learning curve was observed, with significant improvements in all measured parameters as participants gained experience.
  • Trainees' procedure times approached expert levels after multiple attempts.
  • Simulator performance effectively differentiated between trainees and experts, with increasing overlap as trainees gained experience.

Conclusions:

  • Endovascular simulators facilitate skill acquisition in a controlled environment for neuroangiography and coiling.
  • Simulator-based training enhances technical proficiency in neuroendovascular procedures.
  • Simulators should be integrated into neuroendovascular training curricula.