Novel augmented physical simulator for the training of transcatheter cardiovascular interventions.
education
simulation training
transseptal puncture
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
01 05 2020
01 05 2020
Historique:
received:
16
04
2019
revised:
01
07
2019
accepted:
28
08
2019
pubmed:
19
9
2019
medline:
15
12
2020
entrez:
19
9
2019
Statut:
ppublish
Résumé
Training in transcatheter cardiovascular skills today represents a significant challenge because of the complexity of the interventions and an extensive use of multiple live imaging technologies. We describe the design, the face validation, and content validation of a newly developed physical transseptal puncture (TSP) simulator using additive manufacturing techniques and novel imaging simulation solutions. The TSP simulator contains a femoral vein catheterization pad, silicon phantoms of the venous system, a replaceable interatrial septum, and cameras to mimic live fluoroscopic and echocardiographic imaging. A validation study was conducted at the University Hospital of Zurich. A total of 14 interventional cardiologists and cardiac surgeons assessed the TSP simulator. Participants performed a TSP on the simulator using standard interventional tools. Face and content validity was demonstrated using a 5-point Likert scale. The TSP simulator is a new training tool for transcatheter cardiovascular interventions. All interventional cardiologists and cardiac surgeons completed the training exercise and scoring. Overall impression was rated (out of 5) 4.04 ± 1.03, haptic feedback scored 4.13 ± 0.82, and the realism of fluoroscopy simulation 4.39 ± 0.79. Usability was rated 4.50 ± 0.63 by the participants, indicating that the simulator could be suitable for training. We demonstrated face and content validity of a new simulator for transcatheter cardiovascular interventions. The TSP simulator's usability, haptic feedback, imaging solutions, and the overall impression of its usage were reported as very realistic. The TSP simulator represents a promising tool for simulation-based training using real interventional toolkits in a mimicked radiological environment.
Sections du résumé
BACKGROUND
Training in transcatheter cardiovascular skills today represents a significant challenge because of the complexity of the interventions and an extensive use of multiple live imaging technologies.
OBJECTIVES
We describe the design, the face validation, and content validation of a newly developed physical transseptal puncture (TSP) simulator using additive manufacturing techniques and novel imaging simulation solutions.
METHODS
The TSP simulator contains a femoral vein catheterization pad, silicon phantoms of the venous system, a replaceable interatrial septum, and cameras to mimic live fluoroscopic and echocardiographic imaging. A validation study was conducted at the University Hospital of Zurich. A total of 14 interventional cardiologists and cardiac surgeons assessed the TSP simulator. Participants performed a TSP on the simulator using standard interventional tools. Face and content validity was demonstrated using a 5-point Likert scale.
RESULTS
The TSP simulator is a new training tool for transcatheter cardiovascular interventions. All interventional cardiologists and cardiac surgeons completed the training exercise and scoring. Overall impression was rated (out of 5) 4.04 ± 1.03, haptic feedback scored 4.13 ± 0.82, and the realism of fluoroscopy simulation 4.39 ± 0.79. Usability was rated 4.50 ± 0.63 by the participants, indicating that the simulator could be suitable for training.
CONCLUSION
We demonstrated face and content validity of a new simulator for transcatheter cardiovascular interventions. The TSP simulator's usability, haptic feedback, imaging solutions, and the overall impression of its usage were reported as very realistic. The TSP simulator represents a promising tool for simulation-based training using real interventional toolkits in a mimicked radiological environment.
Types de publication
Journal Article
Validation Study
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
1202-1209Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
Waran V, Narayanan V, Karuppiah R, et al. Injecting realism in surgical training-initial simulation experience with custom 3D models. J Surg Educ. 2014;71:193-197. http://dx.doi.org/10.1016/j.jsurg.2013.08.010.
West D, Codispoti M, Graham T. The European Working Time Directive and training in cardiothoracic surgery in the United Kingdom. Surgeon. 2007;5:81-85. http://linkinghub.elsevier.com/retrieve/pii/S1479666X07800588.
Cheung CL, Looi T, Lendvay TS, Drake JM, Farhat WA. Use of 3-dimensional printing technology and silicone modeling in surgical simulation: development and face validation in pediatric laparoscopic pyeloplasty. J Surg Educ. 2014;71:762-767. https://doi.org/10.1016/j.jsurg.2014.03.001.
Feins RH, Burkhart HM, Conte JV, et al. Simulation-based training in cardiac surgery. Ann Thorac Surg. 2017;103:312-321. http://dx.doi.org/10.1016/j.athoracsur.2016.06.062.
De Ponti R, Cappato R, Curnis A, et al. Trans-septal catheterization in the electrophysiology laboratory. J Am Coll Cardiol. 2006;47:1037-1042. http://linkinghub.elsevier.com/retrieve/pii/S0735109705028652.
Rossi L, Penela D, Doni L, et al. Development of simulation combining a physical heart model and three-dimensional system for electrophysiology training. PACE - Pacing Clin Electrophysiol. 2018;41:1461-1466.
Van Nortwick SS, Lendvay TS, Jensen AR, Wright AS, Horvath KD, Kim S. Methodologies for establishing validity in surgical simulation studies. Surgery. 2010;147:622-630. https://doi.org/10.1016/j.surg.2009.10.068.
McDougall EM. Validation of surgical simulators. J Endourol. 2007;21:244-247. http://www.liebertonline.com/doi/abs/10.1089/end.2007.9985.
University Hospital Zurich. CAS - Mitral and Tricuspid Valve Structural Interventions. https://usz-microsite.ch/mitral-and-tricuspid-valve-structural-interventions/. Accessed November 15, 2018.
Varoquier M, Hoffmann CP, Perrenot C, Tran N, Parietti-Winkler C. Construct, face, and content validation on voxel-man® simulator for otologic surgical training. Int J Otolaryngol. 2017;2017:1-8. https://www.hindawi.com/journals/ijoto/2017/2707690/.
Alsalamah A, Campo R, Tanos V, et al. Face and content validity of the virtual reality simulator ‘ScanTrainer®’. Gynecol Surg. 2017;14:18 http://dx.doi.org/10.1186/s10397-017-1020-6.
Hung AJ, Zehnder P, Patil MB, et al. Face, content and construct validity of a novel robotic surgery simulator. J Urol. 2011;186:1019-1025. http://linkinghub.elsevier.com/retrieve/pii/S0022534711038456.
Gong RH, Jenkins B, Sze RW, Yaniv Z. A cost effective and high fidelity fluoroscopy simulator using the Image-Guided Surgery Toolkit (IGSTK). 2014;903618 http://proceedings.spiedigitallibrary.org/proceeding.aspx?doi=10.1117/12.2044112.
De Ponti R, Marazzi R, Ghiringhelli S, Salerno-Uriarte JA, Calkins H, Cheng A. Superiority of simulator-based training compared with conventional training methodologies in the performance of transseptal catheterization. J Am Coll Cardiol. 2011;58:359-363. http://www.sciencedirect.com/science/article/pii/S073510971101610X. Accessed September 15, 2017.
ACEO® Technology GmbH. 70 Years of Silicone Knowhow Unique Drop on Demand Technology. https://www.aceo3d.com/technology/. Accessed November 8, 2018.
Schaffner M, Faber JA, Pianegonda L, Rühs PA, Coulter F, Studart AR. 3D printing of robotic soft actuators with programmable bioinspired architectures. Nat Commun. 2018;9:878 http://dx.doi.org/10.1038/s41467-018-03216-w.