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  <Article>
    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 2; Issue 2</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(Mar-Apr, 2021)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>2021</Year>
        <Month>03</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Three-dimensional Cerebrovascular Bypass Training. A New Low-Cost Home-Made Model</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>10</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Manuel De Jesus Encarnacion</FirstName>
          <LastName>Ramirez</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Gerald</FirstName>
          <LastName>Musa</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Rossi Evelyn Barrientos</FirstName>
          <LastName>Castillo</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Iype</FirstName>
          <LastName>Cherian</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Albert</FirstName>
          <LastName>Sufianov</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Jesús</FirstName>
          <LastName>Lafuente</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Juha</FirstName>
          <LastName>Hernesniemi</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>Background: Vascular anastomosis in neurosurgery is a crucial lifesaving skill requiring intensive continuous training. This makes laboratory training an invaluable aspect of the training. However, many residents have little exposure to this training due to lack of good training models. Objective: To introduce an easily replicable anatomically accurate brain model with major blood vessels and pulsatile blood flow. Materials and Methods: The brain model is made using a 3D printed resin mold. The mold is filled with silicone and mixed with pigment additives to replicate the color and consistency of brain tissue. Dura is made from quick drying silicone paste with grey dye. The blood vessels are made from a silicone 3D printed mold of an MRA. Liquid with Paprika oleoresin (e160c) dye is used to simulate blood and is pumped through the vessels to simulate pulsatile motion. Results: The model was used by 8 residents and 2 neurosurgeons. They unanimously noted that the model offered a more realistic 3D environment compared to the regular silicone and chicken wing models. Conclusion: This model offers a near realistic simulation to real surgery in anatomy, texture and pulsatile blood flow. The model is easily replicable as it utilizes readily available silicone materials. Application will range from preoperative case simulation and training in vascular anastomosis and bypass surgery to aneurysm management.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>3D Model in Neurosurgery,Bypass,Neurosurgery Training</Keywords>
      <URLs>
        <Abstract>https://www.jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=9596&amp;title=Three-dimensional Cerebrovascular Bypass Training. A New Low-Cost Home-Made Model</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
        <References>Aboud E, Al-Mefty O, Ya?argil MG. New laboratory model for neurosurgical training that simulates live surgery. J Neurosurg 2002; 97: 1367-1372.&#13;
&#13;
Achar RA, Lozano PA, Achar BN, Pereira Filho GV, Achar E. Experimental model for learning in vascular surgery and microsurgery: Esophagus and trachea of chicken. Acta Cir Bras 2011; 26: 101-106.&#13;
&#13;
Aimar A, Palermo A, Innocenti B. The role of 3d printing in medical applications: A state of the art. J Healthc Eng 2019; 2019: 5340616.&#13;
&#13;
Belykh E and Byvaltsev V. Off-the-job microsurgical training on dry models: Siberian experience. World Neurosurg 2014; 82: 20-24.&#13;
&#13;
Belykh E, Lei T, Safavi-Abbasi S, Yagmurlu K, Almefty RO, Sun H, Almefty KK, Belykh O, Byvaltsev VA, Spetzler RF, Nakaji P. Low-flow and high-flow neurosurgical bypass and anastomosis training models using human and bovine placental vessels: A histological analysis and validation study. J Neurosurg 2016; 125: 915-928.&#13;
&#13;
Byvaltsev VA, Akshulakov SK, Polkin RA, Ochkal SV, Stepanov IA, Makhambetov YT, Kerimbayev TT, Staren M, Belykh E, Preul MC. Microvascular anastomosis training in neurosurgery: A review. Minim Invasive Surg 2018; 2018: 1-9.&#13;
&#13;
Cikla U, Sahin B, Hanalioglu S, Ahmed AS, Niemann D, Baskaya MK. A novel, low-cost, reusable, high-fidelity neurosurgical training simulator for cerebrovascular bypass surgery. J Neurosurg 2018; 130: 1663.&#13;
&#13;
Colpan ME, Slavin KV, Amin-Hanjani S, Calderon-Arnuphi M, Charbel FT. Microvascular anastomosis training model based on a turkey neck with perfused arteries. Operative Neurosurgery 2008; 62: 407-411.&#13;
&#13;
Grahem HD, Teixeira RK, Feijand;oacute; DH, Yamaki VN, Valente AL, Feitosa Jand;uacute;nior DJ, Reis JM, Barros RS. Low-cost vascular anastomosis training. The surgeon goes to market. J Vasc Bras 2017; 16: 262-266.&#13;
&#13;
Gand;uuml;venand;ccedil;er M, Sayhan S, Ay Dereli N, Tetik S, Yand;uuml;cesoy K, Arda MN. Simulation of cerebrovascular circulation in the human cadaver for surgical neuroanatomy training. Turk Neurosurg 2007; 17: 243-246.&#13;
&#13;
Mokhtari P, Tayebi Meybodi A, Lawton MT, Payman A, Benet A. Transfer of learning from practicing microvascular anastomosis on silastic tubes to rat abdominal aorta. World Neurosurgery 2017; 108: 230-235.&#13;
&#13;
Olabe J, Olabe J, Roda JM, Sancho V. Human cadaver brain infusion skull model for neurosurgical training. Surg Neurol Int 2011; 2: 54.&#13;
&#13;
Panesar SS, Magnetta M, Mukherjee D, Abhinav K, Branstetter BF, Gardner PA, Iv M, Fernandez-Miranda JC. Patient-specific 3-dimensionally printed models for neurosurgical planning and education. Neurosurgical Focus FOC 2019; 47: E12.&#13;
&#13;
Ploch CC, Mansi C, Jayamohan J, Kuhl E. Using 3d printing to create personalized brain models for neurosurgical training and preoperative planning. World Neurosurg 2016; 90: 668-674.&#13;
&#13;
Shah KJ, Peterson JC, Chamoun R. 3d printed models in neurosurgical training. In: Alaraj A, editor. Comprehensive healthcare simulation: Neurosurgery 2018; pp: 47-64.&#13;
&#13;
Shi X, Qian H, Fang T, Zhang Y, Sun Y, Liu F. Management of complex intracranial aneurysms with bypass surgery: A technique application and experience in 93 patients. Neurosurg Rev 2015; 38: 109-120.&#13;
&#13;
Tamrakar K. Learning microvascular anastomosis in low socioeconomic vascular models during residency. Cureus 2017; 9: 1199.&#13;
&#13;
Tanweer O, Mureb MC, Pacione D, Sen R, Jafar JJ, Riina HA, Huang PP. Endovascular and microsurgical aneurysm training in a chicken thigh and leg pulsatile model. World Neurosurg 2019; 124: 201-207.&#13;
&#13;
Zammar SG, El Tecle NE, El Ahmadieh TY, Adelson PD, Veznedaroglu E, Surdell DL, Harrop JS, Benes V, Rezai AR, Resnick DK, Bendok BR. Impact of a vascular neurosurgery simulation-based course on cognitive knowledge and technical skills in european neurosurgical trainees. World Neurosurg 2015; 84: 197-201.</References>
      </References>
    </Journal>
  </Article>
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