| Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses. | |
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MedLine Citation:
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PMID: 18262447 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Carotid artery stenting (CAS) is an advanced endovascular intervention with a steep learning curve. Virtual reality (VR) simulation has been proposed as a means to train and objectively assess technical performance. AIM: To objectively assess psychomotor skills acquisition of experienced interventionalists attending a two-day CAS course, using a VR simulator. METHODS: Both cognitive and technical skills of 11 interventionalists were trained in a two-day course using didactic sessions, case reviews, supervised VR simulation and live-cases. Pre- and post-course skills were assessed through performance on the same CAS procedure using metrics derived from the simulator. RESULTS: Significant differences were noted between pre- and post-course performance for procedure (36 vs. 20min., p=0.005), X-ray (20 vs. 11min., p=0.016) and delivery-retrieval time of the embolic protection device (12 vs. 9min., p=0.007). Advancement of the guiding catheter without a leading wire occurred to a greater extent pre- versus post-course (199 vs. 152mm., p=0.050) as did spasm of the internal carotid artery (4 vs. 2, p=0.049). CONCLUSIONS: This study has objectively proven a benefit for experienced interventionalists to attend CAS courses for skills acquisition measured by a VR simulator. These data can be used to offer participants an insight into their skills and objectively audit course efficacy. |
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Authors:
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I Van Herzeele; R Aggarwal; S Neequaye; M Hamady; T Cleveland; A Darzi; N Cheshire; P Gaines |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-02-08 |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 35 ISSN: 1532-2165 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-04-08 Completed Date: 2008-04-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
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Languages: eng Pagination: 541-50 Citation Subset: IM |
Affiliation:
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Department of Biosurgery and Surgical Technology, Imperial College London, UK; Regional Vascular Unit, St. Mary's Hospital, London, UK. vhisabelle@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon
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education* Carotid Stenosis / therapy* Clinical Competence Computer Simulation Curriculum Education, Medical, Continuing Educational Measurement Humans Models, Cardiovascular Psychomotor Performance* Stents* User-Computer Interface |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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