alexa Comparative use of turkey and chicken wing brachial artery models for microvascular anastomosis training.
Surgery

Surgery

Journal of Vascular Medicine & Surgery

Author(s): Abla AA, Uschold T, Preul MC, Zabramski JM

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Abstract OBJECT: The aim of this study was to describe a turkey wing model for microvascular anastomosis training and compare it to the previously outlined chicken wing model. METHODS: The authors compared diameter measurements in each of 5 turkey and 5 chicken brachial arteries at 3 equidistant points. Usable vessel length was measured (from joint to joint) in each of the specimens. A survey was created and distributed at a bypass training course to assess the attendees' impressions of various practice models used for bypass. RESULTS: The turkey wing brachial artery was consistently larger in diameter (p < 0.01) and longer (p < 0.01) than the chicken wing artery and showed less variability in the vessel diameter (1.47 ± 0.14 mm in the turkey vs 1.07 ± 0.25 mm in the chicken). In a survey of 15 bypass course participants, the live rat training model scored highest overall and was ranked as the best model for training; however, the turkey wing model was ranked second best and was consistently scored ahead of the chicken wing and silastic tube training models. CONCLUSIONS: The authors' institutional preference has shifted to the use of a turkey wing artery as the initial model for microanastomosis training. Advantages in terms of vessel size and tissue durability favor this model over the chicken wing as part of a graduated instruction process. This article was published in J Neurosurg and referenced in Journal of Vascular Medicine & Surgery

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