Can silicone models replace animal models in hands-on training for endovascular stroke therapy?

Autor: Sandmann J; 1 Department of Diagnostic and Interventional Neuroradiology, RWTH Aachen University, Aachen, Germany., Müschenich FS; 1 Department of Diagnostic and Interventional Neuroradiology, RWTH Aachen University, Aachen, Germany., Riabikin A; 1 Department of Diagnostic and Interventional Neuroradiology, RWTH Aachen University, Aachen, Germany., Kramer M; 2 Department of Veterinary Clinical Sciences, Justus-Liebig-University, Gießen, Germany., Wiesmann M; 1 Department of Diagnostic and Interventional Neuroradiology, RWTH Aachen University, Aachen, Germany., Nikoubashman O; 1 Department of Diagnostic and Interventional Neuroradiology, RWTH Aachen University, Aachen, Germany.
Jazyk: angličtina
Zdroj: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences [Interv Neuroradiol] 2019 Aug; Vol. 25 (4), pp. 397-402. Date of Electronic Publication: 2019 Mar 21.
DOI: 10.1177/1591019919833843
Abstrakt: Purpose: Since thrombectomy has become a standard treatment technique for stroke, there is great demand for well-trained interventionalists. We offer practical courses on both silicone models and porcine models, and conducted a survey to evaluate whether ex vivo training models could replace in vivo models in the future.
Methods: In total, 110 neurointerventionalists participating in 30 training courses were included in our survey using a semi-structured questionnaire.
Results: The level of experience in thrombectomy maneuvers was almost balanced in our sample (52% experienced and 48% less-experienced participants). Silicone models were regarded as useful training tools regardless of the participants' experience ( p  = 1.000): 94% of less-experienced and 92% of experienced participants considered a silicone model to be a useful introduction for training with animal models. Of the participants, 95% indicated that training on animal models was helpful and necessary, even if they already had experience in performing interventions in humans ( p  = 1.000). After joining this course, 97% of all participants felt well prepared to perform thrombectomies in humans.
Conclusion: Even experienced participants benefit from silicone models. Silicone models are a good preparation for animal models but cannot replace them. Categorizing participants depending on their experience and their individual needs before practical training may allow for more efficient endovascular training.
Databáze: MEDLINE