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ECR 2018 / C-2646
Use of radial access in Thiel cadaveric flow model for training endovascular interventions
Congress: ECR 2018
Poster No.: C-2646
Type: Scientific Exhibit
Keywords: Cardiovascular system, Interventional vascular, Vascular, Catheter arteriography, Fluoroscopy, Experimental, Arterial access, Experimental investigations, Education, Education and training, Quality assurance, Economics
Authors: M. Salsano1, H. M. McLeod2, S. Matthew2, G. Houston2; 1Birmingham/UK, 2Dundee/UK

Methods and materials

Proof of concept was demonstrated using Thiel-embalmed human cadaver with extracorporeal arterial flow.

The Thiel cadaver was placed supine.  The extracorporeal circuit was prepared by inserting ports (12 – 14 Fr sheath, Check-Flo Cook Medical, Ireland) into the left axillary and femoral arteries (depending upon the caliber of the vessel); the ports were then connected to a heart–lung bypass machine (HL-30 Maquet, Germany).  Extracorporeal continuous retrograde flow of up to 1 L per minute was delivered to the arterial tree depending upon the flow rate required.  Patency and flow with-in the arterial circuit was demonstrated by Digital subtraction angiography.

The right radial artery was identified and punctured under US guidance and a 5F sheath inserted.

The model was then tested by an interventional radiologist under fluoroscopic guidance, using a C-arm (OEC 9900 GE, USA) 

A series of different guidewires and catheters were used for a diagnostic angiogram of the thoracic and abdominal aorta.

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