Abstract
Objective: This study highlights how a thorough preparation process is crucial to achieving successful cadaveric models
for endovascular training. By sharing our descriptive report of procedural experiments and detailed preparation tech-
niques, we demonstrate the importance of this process in creating high- delity models that enhance training
effectiveness.
Methods: Two fresh frozen cadavers (FFCs) were prepared for a high- delity vascular training model. Frozen at 20 F, they
were transported under refrigerated conditions and thawed over 3 days at 60 to 65 F. Vascular patency was assessed using
robotic C-arm imaging. A motorized pump simulated arterial hemodynamics, whereas manual perfusion enhanced cerebral
visualization. Vascular access was established via femoral, carotid, and radial/ulnar arteries under ultrasound guidance.
Procedures were performed in a hybrid operating room with advanced imaging. The model’s effectiveness was evaluated
through pulmonary thrombectomy in one cadaver and simulated ruptured abdominal aortic aneurysm repair in the other.
Results: The cadaveric models demonstrated signi cant versatility, allowing for the successful replication of both a
pulmonary embolism and a ruptured abdominal aortic aneurysm. High-quality visualization of major and distal arterial
branches, including the Circle of Willis, was also achieved. Integrating manual perfusion and motorized pumping systems
ensured vascular patency and realistic blood ow dynamics, making the models suitable for simulating real-life endo-
vascular interventions. The study enhances the model’s capability to support complex procedures, emphasizing its
practical application in advanced training.
Conclusions: This study establishes that preparing FFCs is promising for developing versatile and optimized models for
endovascular training. Sharing our preparation techniques will allow other institutions to replicate these models to enhance
their training programs. Continued improvements could make FFC models essential tools for training the next generation of
endovascular specialists. Prior models have been created, and our institutional experience highlights the foundation of these
techniques, whereas future studies will aim to test these models in trainees. (J Vasc Surg Cases Innov Tech 2025;11:101820.)