Cadaveric ruptured abdominal aortic aneurysm training model for supraceliac clamping and proximal balloon control

Background: The decreasing incidence of ruptured abdominal aortic aneurysm resulted in vascular trainees gaining less experience from acute aortic management. Methods: To address this unmet training need, we performed a proof-of-concept with the intent of using the experience in creation of future ruptured abdominal aortic aneurysm training courses. After fresh frozen cadaver preparation, establishing pulsatile flow, and creating aortic rupture, a senior resident was invited to perform proximal balloon control and supraceliac aortic clamping. Results: The procedures lasted 5 minutes and 27 seconds and 18 minutes and 17 seconds with an estimated 150 mL and 350 mL faux blood loss, respectively. Conclusions: Our model proved to be feasible, promising an enormous, yet untapped potential in the training of future aortic surgeons.