Appropriate and adequate training for carotid endarterectomy (CEA) and bypass surgery is crucial for neurosurgical residents. We have developed new vessel models for CEA and high-flow bypass. The new vessel model for simulating CEA contains a plaque in the vessel, and surgeons can dissect the plaque from the vessel wall and perform insertion and removal of an internal shunt. Suturing the vessel model feels realistic. Patch angioplasty can also be performed using this vessel. Using 4- and 8-mm diameter vessel models, simulation of high-flow bypass (radial and external carotid artery bypass) can be performed.
Simulation training for neurosurgical residents and medical students using these vessel models may provide useful sensate experience similar to that encountered in real CEA and high-flow bypass.