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Validated Microsurgical Training Programmes: A Systematic Review of the Current Literature.
Microsurgical skill acquisition and development are complex processes, due to the often complex learning curve, limited training possibilities, and growing restrictions on working hours. Simulation-based training programmes, employing vario…
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Most Promising Approaches to Improve Brain AVM Management: ARISE I Consensus Recommendations.
Brain arteriovenous malformations (bAVMs) are complex, and rare arteriovenous shunts that present with a wide range of signs and symptoms, with intracerebral hemorrhage being the most severe. Despite prior societal position statements, ther…
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ARISE I Consensus Review on the Management of Intracranial Aneurysms.
[BACKGROUND] Intracranial aneurysms (IAs) remain a challenging neurological diagnosis associated with significant morbidity and mortality. There is a plethora of microsurgical and endovascular techniques for the treatment of both ruptured a…
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Trapped fourth ventricle: to stent, shunt, or fenestrate-a systematic review and individual patient data meta-analysis.
Trapped or isolated fourth ventricle (TFV) is a rare but critical neurosurgical condition, mostly occurring in pediatric patients, caused by a blockage of the in- and outlets of the fourth ventricle. The purpose of this study is to review a…
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Reduction of the Number of Live Animals Used for Microsurgical Skill Acquisition: An Experimental Randomized Noninferiority Trial.
[BACKGROUND] Live animals have been used for decades as one of the many training models for developing surgical skills. Microsurgery in particular relies on training for skill acquisition and maintenance, using live animal models, especial…
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Reduction of Anastomotic Time Through the Use of Cyanoacrylate in Microvascular Procedures.
Ever since the description of the first microvascular anastomosis, numerous alternative methods have been described to the classical approach. Tissue adhesive has shown promising result in previous studies and can be a fast and efficient al…
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Open Microvascular Thrombectomy for Acute Intracranial Large Vessel Occlusion: Microsurgery in the Endovascular Thrombectomy Era.
[BACKGROUND] Open microsurgical thrombectomy for acute intracranial large vessel occlusion (LVO) has been the subject of dozens of case reports and series. However, no clear indications exist to define its role in the management of acute is…
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The Flower Petal Training System in Microsurgery: Validation of a Training Model Using a Randomized Controlled Trial.
[INTRODUCTION] Despite hundreds of training models for microsurgery being available in the literature, very few of them are scientifically validated. We chose to validate our low-fidelity training model on flower petals by comparing it head…