ANGIO MENTOR™

The Most Advanced Endovascular Training Simbionix ANGIO Mentor simulators provide hands-on practice of endovascular procedures performed under fluoroscopy in the cath lab, interventional suite or an OR, in an extensive and complete virtual reality simulated environment. It provides a complete individual and team training solution to learners of all levels and across multiple disciplines, including Interventional Cardiology, Interventional Radiology, Vascular Surgery, Cardiothoracic Surgery, Electrophysiology, Interventional Neuroradiology, Neuro Surgery and Trauma. The company’s unique technology enables realistic visualization of the anatomy and instrument activity. This technology is combined with a high-end haptic system for visual and tactile feedback, which realistically mimics the look and feel of actual endovascular interventions. An ever expanding library of modules provides an up-to-date curriculum including basic and advanced cases. The system features more than 19 different endovascular procedures and over 130 patient scenarios.

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New Modules

1. ADVANCED TEVAR MODULE 

Allows practicing thoracic endovascular aneurysm repair (TEVAR) using a stent graft system and a stent graft balloon. The patient anatomies include different sizes and locations of aneurysms and transections. The simulated complications include endoleaks which can be resolved with balloon inflation or stent graft extensions.

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This module allows clinicians to practice all procedural steps of endovascular acute and chronic dissection treatment using stent graft systems.

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The practiced steps include:

-Passing a guide wire into the true lumen (avoiding the false lumen)

-Selecting an appropriate stent graft

-Positioning a stent graft in the correct landing zone

-Deploying the stent graft

-Final angiography – verifying leaks

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Features:

-IVUS imaging is available at specific anatomical structures

-Incorrect stent graft size or positioning may trigger endoleaks, which can be resolved using a balloon

-Any wire and catheter may accidently enter the false lumen

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2. Coronary CTO MODULE

This module provides hands-on training for coronary chronic total occlusion (CTO).

In this module, the trainee will be able to practice CTO treatment both by the Antegrade and Retrograde approaches. In the Antegrade approach cases, the CTO crossing is practiced via the True-Lumen-to-True Lumen and the Dissection Re-entry techniques. In the Retrograde approach case, the user will use the Wire Escalation technique.

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Learning Objectives:

-Discuss the hybrid algorithm for selection of intervention strategy

-Practice guide catheter(s) selection according to occlusion location

-Practice dual coronary angiography to evaluate the CTO anatomy

-Practice stepwise ‘true-to-true’ technique

-Practice stepwise dissection-re-entry technique

-Practice wire escalation

-Practice septal crossing during retrograde approach

-Practice a variety of CTO devices including CTO catheter, re-entry device, CTO guide wires and support microcatheter

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3. Coronary Bifurcation Module

This module provides hands-on training of advanced cardiac catheterization skills while treating coronary bifurcation lesions.

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The Coronary Bifurcation module provides training on complex bifurcation lesions treatment using advanced techniques.

The prevalence of bifurcation stenosis in the human coronary tree is reported to be between 15% to 20% of all interventions and is considered complex and challenging for percutaneous intervention.

In this module, the user will be able to identify the bifurcation technique that should be used according to the patient anatomy and execute the step-by-step required to treat the relevant bifurcation stenosis.

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The trainee can practice a complete percutaneous coronary intervention under fluoroscopic guidance, using a variety of cath lab tools such as diagnostic catheters, aspiration catheters, wires, guiding catheters, PTA balloons, and stents.

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Patient anatomy and pathology vary and include left and right dominant coronary anatomy, presenting different locations of lesions. Each case offers a different patient scenario, including acute coronary syndrome and multi-vessel disease and allows for realistic training of different treatment techniques. During the case, the trainee may encounter complications which will need to be attended, using various devices and drugs.

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