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Cerebral Aneurysm Coiling

Hands-on training for cerebral aneurysm coiling

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Latest Release
February 12, 2025
  • Updated and refined anatomies, including adding ophthalmic arteries where previously missing, to improve the fidelity of the challenges presented during cerebral navigation
  • Updated portfolio of intracranial stents to better represent the real devices used
  • New look and feel to improve usability
  • Automatic calibration for measurements and possibility to zoom when roadmaps are used to better align with the features found in the angio suite
  • Switched position of frontal and lateral planes to align with the most common setup in the angio suite
  • High-resolution forces on latest generation of G7 for improved realism and for the operator to better appreciate and understand the nuances of the friction forces during neurointervention
  • Ready for automatic updates to speed-up and facilitate more frequent updates of the solution, to always be updated with the latest version

View All Releases
Mentice: Link to similar products  within the neuroradiologists
Latest Release
February 12, 2025

New and updated cases

  • 4 new Flow diversion cases with more complex and challenging aneurysms to allow for more advanced training
  • Added full guidance for one AIS case, to learn the basic steps and to allow for unproctored training
  • 2 new larger and more complex AVMs to allow for more advanced training, handling multiple feeders and reflux
  • Updated and refined anatomies, including adding ophthalmic arteries where previously missing, to improve the fidelity of the challenges presented during cerebral navigation

New features and improvements

  • Ready for case rehearsal of flow diversion cases planned using Ankyras validated planning platform
  • A completely new and more realistic model for flow diverters enabling flow diversion in more complex and challenging anatomies, improving thefidelity of the training
  • Foreshortening based on Ankyras’ validated algorithm to align training with planning and to better understand the complexity of flow diverters
  • Increased visibility of embolic agent for increased realism and better training
  • Updated portfolio of intracranial stents to better represent the real devices used
  • New look and feel to improve usability
  • Automatic calibration for measurements and possibility to zoom when roadmaps are used to better align with the features found in the angio suite
  • Switched position of frontal and lateral planes to align with the most common setup in the angio suite
  • High-resolution forces on latest generation of G7 for improved realism and for the operator to better appreciate and understand the nuances of the friction forces during neuro intervention
  • Ready for automatic updates to speed-up and facilitate more frequent updates of the solution, to always be updated with the latest version
  • Onlinebug and feedback reporting available

View All Releases
Mentice: Link to similar products  within the neuroradiologists
This learning module is designed for:
Interventional Neuroradiologists - residents, fellows and procoring interventionalists

Mentice Neurovascular Coiling is designed to learn skills essential to cerebral interventional procedures. The module facilitates technical, procedural and cognitive training and discussions in a risk-free environment for these delicate procedures.

The Neurovascular Coiling Module offers the opportunity to treat cerebral aneurysms of different sizes, shapes, and locations prior to patient procedures and with different strategies (balloon-/stent-assisted coiling).

Psychomotor skills, patient assessment and procedural decisions may be implemented by a learner and reviewed by the instructor to optimize the training time. Using VIST® Case-It, you can even import patient-specific CT data and create your case library for training.

Features & Benefits

Key Benefits

Procedural planning based on patient scenarios

Learn the procedural steps for cerebral angiography

Acquire pertinent technical and manipulation skills

Safely access and navigate the cerebral vasculature

Teaches balloon- and stent assisted coiling

Features & Benefits
  • Actual clinical devices can be used for realistic experience
  • Procedural complications (perforation, dissection, spasm)
  • BRT & SACT for assistance during coiling
  • Advanced imaging using roadmaps and biplane
  • 3DRA functionality for sizing and anatomy study
  • Genuine resistance encountered with over-sizing or over filling of the aneurismal sac
  • Fill rate calculated based on coil selections and deployment
  • Detailed metrics for assessment and debriefing
  • VIST® Case-It support makes it possible to import user’s own cases or build cases using existing anatomy library
Training Objectives
  • Perform a safe carotid access in different aortic arch types
  • Manipulate C-arm projection (incl. biplane) and magnification for assessing the aneurysm
  • Select and deploy coils with appropriate diameter and length
  • Perform the balloon remodeling technique (BRT)
  • Safely perform stent-assisted coiling (SACT, trans-cell)
  • Demonstrate safe device manipulation inside the aneurysm and managing related complications
  • Understand and handle complications during distal access in tortuous cerebral anatomy

Workflow

Step 1

Flow Diverter Case planning in Ankyras®

Mentice: Flow Diverter planning in Ankyras
Step 2

Import Case directly into VIST® simulator

Mentice: VIST G7 Virtual Reality Simulation
Step 3

Practice deployment in patient-specific anatomy

Mentice: Wire navigation and flow diverter overlay from Ankyras

Case Layout

Total of 13 interactive cases for coiling, more to follow:
  • 601: Type I, Aneurysm – ACOM, Coiling only
  • 602: Type I, Aneurysm – BA (tip), Coiling only
  • 603: Type III, Aneurysm – Right PICA, Coiling only
  • 604: Type III, Aneurysm – MCA Bifurcation, Coiling only
  • 605: Type I, Aneurysm – PCA, Assisted coiling needed, BRT sufficient
  • 606: Type II, Aneurysm – Left Ophthalmic Artery, Assisted coiling needed, BRT sufficient (Updated anatomy)
  • 607: Type II, Aneurysm – BA (tip), Assisted coiling needed, SACT recommended
  • 608: Type I, Aneurysm – Left Ophthalmic Artery, Assisted coiling needed, SACT recommended
  • 609: Type I, Aneurysm – BA (trunk), Assisted coiling needed, BRT sufficient (Updated anatomy)
  • 610: Type II, Aneurysm – Left MCA, Assisted coiling needed, SACT recommended
  • 611: Type III, Aneurysm – BA (tip) and PICA, Assisted coiling needed, SACT recommended for BA, Coiling only for PICA (Updated anatomy)
  • 612: Type II, Aneurysm – ACOM, Coiling only
  • 613: Bovine, Aneurysm – Right Ophthalmic Artery, Assisted coiling needed
For case description, please contact us on the form below
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Disclaimer & Regulatory Information

VIST® Ankyras® Flow Diverter Rehearsal is a training solution not intended for clinical use or decision making. Ankyras® is a medical device manufactured by Mentice Spain S.L. Mentice Spain S.L. is ISO 13485 certified. Ankyras® complies with the EU Medical Device Regulation (EU CE Mark, MDR 784032). ANKYRAS® is a medical software intended to assist healthcare professionals in the selection of a proper braided device for treatment of intracranial aneurysms. ANKYRAS® is intended for exclusive use by professional users.