Guidewire simulation of endovascular intervention: A systematic review

Abstract

Background Endovascular intervention is an important minimally invasive surgery that requires professional skills to operate surgical instruments. Such skills are mainly gained through the traditional training paradigm of “see one, do one, teach one”, rather than the guidewire simulation system. Methods To identify limitations of existing guidewire simulation research and suggest further research orientations, a comprehensive search on literature published from 2007 to 2021 is performed in 11 selected electronic databases. Through our scrutiny and filtration, 34 articles are selected as major studies for careful examinations. Results We identify challenges faced in the field of endovascular intervention guidewire simulation. We examine and classify guidewire simulation techniques (including guidewire models, collision detection methods and collision response methods), accuracy evaluation methods, error sources, and performance optimization methods. Conclusions Guidewire simulation can satisfy the urgent need to train surgeons, thus more efforts should be dedicated enabling its wide application in clinical environment.

The Flux One Magnetic Navigation System: A Preliminary Assessment for Stent Implantation

“…On average, f-EVAR procedures may involve sleeving one to four fenestrations in visceral side branches with guidewires [4]. However, surgeons may face challenges in selecting the appropriate guidewire to navigate the patient's vasculature and lesion, and may need to alter their choice during the procedure [21]. Using multiple guidewires can result in longer intervention time and increase the risk of inefficacy.…”