Endovascular treatment simulations using a novel

3D printing Arteriovenous malformation simulation training surgical model therapeutic embolization

Journal

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
ISSN: 2385-2011
Titre abrégé: Interv Neuroradiol
Pays: United States
ID NLM: 9602695

Informations de publication

Date de publication:
22 Jun 2023
Historique:
pubmed: 23 6 2023
medline: 23 6 2023
entrez: 23 6 2023
Statut: aheadofprint

Résumé

Brain arteriovenous malformations (bAVM) are complex vascular diseases. Several models have been used to simulate endovascular treatments; thus To describe the development and evaluate the preliminary experience of a novel bAVM We designed a bAVM phantom starting from simple to more complex designs, composed of a nidus, feeding arteries and draining vein. We recreate the design by using millifluidic technology with stereolithography 3D printing. Structural and functional tests were performed using angiographic images and computer flow dynamics. Treatment simulations with ethylene vinyl alcohol were tested using two different microcatheter position techniques. A Likert-scale questionnaire was applied to perform a qualitative evaluation of the model. We developed a realistic model of a bAVM with hollow channels. The structural evaluation showed a high precision of the 3D printing process. Embolization tests with the liquid agent gave similar sensations and material behaviour as We were able to create and test a novel bAVM

Sections du résumé

BACKGROUND BACKGROUND
Brain arteriovenous malformations (bAVM) are complex vascular diseases. Several models have been used to simulate endovascular treatments; thus
OBJECTIVE OBJECTIVE
To describe the development and evaluate the preliminary experience of a novel bAVM
METHODS METHODS
We designed a bAVM phantom starting from simple to more complex designs, composed of a nidus, feeding arteries and draining vein. We recreate the design by using millifluidic technology with stereolithography 3D printing. Structural and functional tests were performed using angiographic images and computer flow dynamics. Treatment simulations with ethylene vinyl alcohol were tested using two different microcatheter position techniques. A Likert-scale questionnaire was applied to perform a qualitative evaluation of the model.
RESULTS RESULTS
We developed a realistic model of a bAVM with hollow channels. The structural evaluation showed a high precision of the 3D printing process. Embolization tests with the liquid agent gave similar sensations and material behaviour as
CONCLUSIONS CONCLUSIONS
We were able to create and test a novel bAVM

Identifiants

pubmed: 37350047
doi: 10.1177/15910199231184605
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

15910199231184605

Auteurs

Rodrigo Rivera (R)

Neuroradiology Department, Instituto de Neurocirugia Dr Asenjo, Santiago, Chile.
CNRS XLIM UMLR 7252, Université de Limoges, Limoges, France.

Alvaro Cespedes (A)

Department of Design and Manufacturing, Universidad Santa Maria, Viña del Mar, Chile.

Juan Pablo Cruz (JP)

Neuroradiology Department, Instituto de Neurocirugia Dr Asenjo, Santiago, Chile.

Gladys Carlota Rivera (GC)

Department of Mechanical Engineering, Universidad de Chile, Santiago, Chile.

Alvaro Valencia (A)

Department of Mechanical Engineering, Universidad de Chile, Santiago, Chile.

Aymeric Rouchaud (A)

CNRS XLIM UMLR 7252, Université de Limoges, Limoges, France.
Neuroradiology Department, CHU, Limoges, France.

Charbel Mounayer (C)

CNRS XLIM UMLR 7252, Université de Limoges, Limoges, France.
Neuroradiology Department, CHU, Limoges, France.

Classifications MeSH