Document Detail


Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses.
MedLine Citation:
PMID:  18262447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
I Van Herzeele; R Aggarwal; S Neequaye; M Hamady; T Cleveland; A Darzi; N Cheshire; P Gaines
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-02-08
Journal Detail:
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:
Created Date:  2008-04-08     Completed Date:  2008-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  541-50     Citation Subset:  IM    
Affiliation:
Department of Biosurgery and Surgical Technology, Imperial College London, UK; Regional Vascular Unit, St. Mary's Hospital, London, UK. vhisabelle@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / 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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