Virtual reality simulation of neuroendovascular intervention improves procedure speed in a cohort of trainees.
Aneurysm
Endovascular
Neuroendovascular
Simulation
Thrombectomy
Virtual reality
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2019
2019
Historique:
received:
16
07
2019
accepted:
03
09
2019
entrez:
23
10
2019
pubmed:
23
10
2019
medline:
23
10
2019
Statut:
epublish
Résumé
Realistic virtual reality (VR) simulators have greatly expanded the tools available for training surgeons and interventionalists. While this technology is effective in improving performance in many fields, it has never been evaluated for neuroendovascular procedures. This study aims to determine whether VR is an effective tool for improving neuroendovascular skill among trainees. Trainees performed two VR revascularizations of a right-sided middle cerebral artery (MCA) thrombosis and their times to procedural benchmarks (time to enter internal carotid artery [ICA], traverse clot, and complete procedure) were compared. To determine whether the improvement was case specific, trainees with less procedural exposure were timed during VR left-sided ICA (LICA) aneurysm coiling before or after performing MCA thrombectomy simulations. To determine the value of observing simulations, medical students were timed during the right MCA revascularization simulations after watching other VR procedures. Trainees significantly improved their time to every procedural benchmark during their second MCA revascularization (mean decrease = 1.08, 1.57, and 2.24 min; Both performance and viewing of simulated procedures produced significant decreases in time to reach neuroendovascular procedural benchmarks. These data show that VR simulation is a valuable tool for improving trainee skill in neuroendovascular procedures.
Sections du résumé
BACKGROUND
BACKGROUND
Realistic virtual reality (VR) simulators have greatly expanded the tools available for training surgeons and interventionalists. While this technology is effective in improving performance in many fields, it has never been evaluated for neuroendovascular procedures. This study aims to determine whether VR is an effective tool for improving neuroendovascular skill among trainees.
METHODS
METHODS
Trainees performed two VR revascularizations of a right-sided middle cerebral artery (MCA) thrombosis and their times to procedural benchmarks (time to enter internal carotid artery [ICA], traverse clot, and complete procedure) were compared. To determine whether the improvement was case specific, trainees with less procedural exposure were timed during VR left-sided ICA (LICA) aneurysm coiling before or after performing MCA thrombectomy simulations. To determine the value of observing simulations, medical students were timed during the right MCA revascularization simulations after watching other VR procedures.
RESULTS
RESULTS
Trainees significantly improved their time to every procedural benchmark during their second MCA revascularization (mean decrease = 1.08, 1.57, and 2.24 min;
CONCLUSION
CONCLUSIONS
Both performance and viewing of simulated procedures produced significant decreases in time to reach neuroendovascular procedural benchmarks. These data show that VR simulation is a valuable tool for improving trainee skill in neuroendovascular procedures.
Identifiants
pubmed: 31637085
doi: 10.25259/SNI_313_2019
pii: SNI-10-184
pmc: PMC6778328
doi:
Types de publication
Journal Article
Langues
eng
Pagination
184Informations de copyright
Copyright: © 2019 Surgical Neurology International.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Acta Radiol. 2008 Sep;49(7):801-5
pubmed: 18608009
MMWR Morb Mortal Wkly Rep. 2012 May 25;61(20):379-82
pubmed: 22622094
Eur J Vasc Endovasc Surg. 2017 Feb;53(2):193-198
pubmed: 28003104
Int J Surg. 2016 May;29:85-94
pubmed: 26992652
N Engl J Med. 2015 Jan 1;372(1):11-20
pubmed: 25517348
J Neurointerv Surg. 2019 Aug;11(8):775-780
pubmed: 30655360
Vasc Health Risk Manag. 2015 Mar 10;11:195-202
pubmed: 25792841
Cardiovasc Intervent Radiol. 2014 Aug;37(4):920-7
pubmed: 24196270
Stroke. 2018 Jul;49(7):e239-e242
pubmed: 29866758
Int J Med Robot. 2017 Sep;13(3):null
pubmed: 27538939
Ann Surg. 2005 Feb;241(2):364-72
pubmed: 15650649