Influence of patient-specific rehearsal on operative metrics and technical success for endovascular aneurysm repair.

Autor:	Våpenstad C; Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; Department of Health Research, SINTEF AS, Trondheim, Norway.; The Norwegian National Advisory Unit for Ultrasound and Image-Guided Therapy, Trondheim University Hospital, Trondheim, Norway., Lamøy SM; Department of Radiology and Nuclear Medicine, Trondheim University Hospital, Trondheim, Norway., Aasgaard F; Department of Vascular Surgery, Trondheim University Hospital, Trondheim, Norway., Manstad-Hulaas F; Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; The Norwegian National Advisory Unit for Ultrasound and Image-Guided Therapy, Trondheim University Hospital, Trondheim, Norway.; Department of Radiology and Nuclear Medicine, Trondheim University Hospital, Trondheim, Norway., Aadahl P; Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; Medical Simulation Centre, Trondheim, Norway., Søvik E; Department of Radiology and Nuclear Medicine, Trondheim University Hospital, Trondheim, Norway.; Medical Simulation Centre, Trondheim, Norway., Stensæth KH; Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; Department of Radiology and Nuclear Medicine, Trondheim University Hospital, Trondheim, Norway.
Jazyk:	angličtina
Zdroj:	Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy [Minim Invasive Ther Allied Technol] 2021 Aug; Vol. 30 (4), pp. 195-201. Date of Electronic Publication: 2020 Feb 14.
DOI:	10.1080/13645706.2020.1727523
Abstrakt:	Introduction: Patient-specific rehearsal (PsR) is a recent technology within virtual reality (VR) simulation that lets the operators train on patient-specific data in a simulated environment prior to the procedure. Endovascular aneurysm repair (EVAR) is a complex procedure where operative metrics and technical success might improve after PsR. Material and Methods: We compared technical success and operative metrics (endovascular procedure time, contralateral gate cannulation time, fluoroscopy time, total radiation dose, number of angiograms and contrast medium use) between 30 patients, where the operators performed PsR (the PsR group), and 30 patients without PsR (the control group). Results: The endovascular procedure time was significantly shorter in the PsR group than in the control group (median 44 versus 55 min, p = .017). The other operative metrics were similar. Technical success rates were higher in the PsR group, 96.7% primary and assisted primary outcome versus 90.0% in the control group. The differences were not significant ( p = .076). Conclusions: PsR before EVAR reduced endovascular procedure time, and our results indicate that it might improve technical success, but further studies are needed to confirm those results.
Databáze:	MEDLINE
Externí odkaz: