Zurich Aneurysm Clipping Course 2023

This course provides an excellent opportunity to get both theoretical knowledge and practical training on the safe application of the Aesculap YASARGIL Aneurysm Clips.

Location

Zürich

12.05.2023 10:00 am - 4:30 pm
13.05.2023 8:00 am - 8:00 pm
14.05.2023 8:00 am - 6:00 pm
15.05.2023 8:00 am - 7:30 pm
16.05.2023 7:15 am - 4:30 pm

Preface

Dear colleagues,

The clipping of a cerebral aneurysm requires a deep knowledge of the anatomy as
well as excellent surgical skills. In a time where a substantial number of aneurysms is treated by endovascular methods, it becomes more challenging to gain and to improve the surgical skills necessary to clip an aneurysm. Therefore hands-on training on surgical models becomes even more important to learn the safe application of clips.

This course concept was developed for consultants in vascular neurosurgery based
on the experience of the Neurosurgical Department of the University Hospital Zurich in cooperation with the Aesculap Akademie. It provides an excellent opportunity to get both theoretical knowledge and practical training on the safe application of the Aesculap YASARGIL Aneurysm Clips. Different surgical approaches are explained and shown by the tutors and performed by the participants on cadaver models. Moreover, innovative surgical models such as perfused cadaver heads and placentas will be used to train the microdissection of vessels, of arachnoid and the safe clip application in a very realistic way. A newly developed virtual reality system will allow the participants to ‘dive’ into a patients head for getting a new perspective and even deeper understanding of the anatomy. The Anatomical Institute of the University Tübingen offers a state-of-the art equipment for this hands-on course and an environment that stimulates interactions with the international faculty of renowned leaders in the field of aneurysm clipping. After the hands-on part you have the unique opportunity to observe live surgery in the University Hospital Zurich and to see aneurysm surgery with YASARGIL aneurysm clips in the place where they were invented and initially used by Prof. M. Gazi Yasargil over 50 years ago.

We are looking forward welcoming you at this course.

Prof. Luca Regli, MD, Universitätsspital Zürich
PD Giuseppe Esposito, MD, PhD, Universitätsspital Zürich
Pirmin, LutzAesculap AG

Program

10:00 am Optional: Factory Tour Aesculap – Aneurysm Clip
and Micro Instrument Production
11:15 am Showroom Visit
Lutz
12:00 pm Lunch
12:45 pm Introduction and Welcome
Esposito/Lutz
1:00 pm Portfolio & Handling of AESCULAP® YASARGIL Aneurysm Clips
Lutz
1:30 pm Introduction VR SystemFaculty
2:00 pm Microsurgical pearls: The supratentorial cisterns
Esposito
2:25 pm Coffee break
2:55 pm Microsurgical pearls: The infratentorial cisterns
Arikan
3:20 pm Pterional approach: The working horse of cerebrovascular surgery
Esposito
3:45 pm Anterior interhemispheric approach
Arikan
4:00 pm Placenta model and clipping model: exercises (theory) Esposito
4:30 pm Common Travel to Tübingen

8:00 am Meeting point / Transfer
8:30 am Welcome
Regli
8:40 am Introduction Equipment & Housekeeping
Esposito/Lutz
9:00 am  Approaches to posterior fossa aneurysms: the suboccipital approach and its variations
Tatagiba
09:30 am 1. Hands-on (approach)
The suboccipital approach and its variations:
dissection of cerebello-medullary cisterns
Tatagiba
1:00 pm Lunch
1:45 pm Aneurysm Lectures:
– Clipping strategy and prevention / management of intraop rupture
– Basilar tip and SCA aneurysms P2-P3 aneurysms
Gruber
2:10 pm Placenta model and clipping model: groups / program
Esposito
2:30 pm 2. Hands-on with AESCULAP® YASARGIL Aneurysm Clips all
Group 1:
– Simulation on perfused cadaver model: safe clipping
– Simulation with VR system: anatomy
Group 2:
– Simulation on placenta: dissection and safe aneurysm clipping
5:30 pm End of day / Transfer Hotel
8:00 pm Course Dinner

8:00 am Meeting point / Transfer
8:30 am 3.1. Hands-on (approach)

– Pterional approach and dissection of the parasellar cisterns
Regli

10:15 am 3.2. Hands-on (approach)
– Anterior clinoidectomy
Regli
1:00 pm Lunch
1:45 pm Aneurysm Lectures:
Clipping strategy and prevention / management of intra-op rupture
– Internal carotid artery aneurysms
– ACom and distal ACA aneurysms
– MCA aneurysmsGruber
2:30 pm Placenta model and clipping model: groups / program Esposito
3:00 pm 4. Hands-on with AESCULAP® YASARGIL Aneurysm Clips
Group 1:
– Simulation on placenta: dissection and safe aneurysm clipping
Group 2:
– Simulation on perfused cadaver model: safe clipping
– Simulation with VR system: anatomy
6:00 pm End of day / Transfer Hotel

8:00 am Meeting point / Transfer with luggage
8:30 am Case discussions
9:30 am Subtemporal approach
1:00 pm Latero-supraorbital & and mini-pterional approach:
differences and similarities
Esposito/Regli
10:10 am 5.1. Hands-on (approach)
Latero-supraorbital or mini-pterional approach left and dissection parasellar cisterns
Esposito
11:40 am 5.2. Hands-on (approach)
Subtemporal approach left and dissection parapeduncular cisterns
Gruber
3:00 pm Summary and closing remarks
2:15 pm Lunch
3:15 pm Common travel to Zurich
6:00 pm Hotel Check-in
7:30 pm Course dinner in Zurich

7:15 am Meeting point / Walk to the University Hospital
7:30 am Case Discussion Regli/Esposito
8:15 am Preparation
8:30 am Live Surgeries
Case 1: Lateral-supraorbital approach and aneurysm clipping with
AESCULAP® YASARGIL Aneurysm Clips
Case 2: Minipterional approach and aneurysm clipping with
AESCULAP® YASARGIL Aneurysm Clips
11:45 am Debriefing Operation 1 and 2 & lunch
12:15 pm Live Surgeries
Case 3: Pterional approach and aneurysm clipping with
AESCULAP® YASARGIL Aneurysm Clips
Case 4: Minipterional approach and aneurysm clipping with
AESCULAP® YASARGIL Aneurysm Clips
4:00 pm Debriefing Operation 3 & 4
4:30 pm Discussion: Summary and closure of the course
3:15 pm Common travel to Zurich
6:00 pm Hotel Check-in
7:30 pm Course dinner in Zurich

Course Directors

Luca Regli, Prof. Dr. med.

Director of Department, Department of Neurosurgery

Tel. +41 44 255 29 92

Giuseppe Esposito, PD Dr. med.

Senior Attending Physician, Department of Neurosurgery

Tel. +41 43 253 26 73
Specialties: Vascular neurosurgery (aneurysms, AVM, dAVF), Brain revascularization (brain bypass surgery, carotid endarterectomy, Moyamoya), Microneurosurgery of brain tumors and skull base surgery