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Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program.
J Neurointerv Surg. 2013 Jul; 5(4):376-81.JN

Abstract

INTRODUCTION

Surgical simulation provides a zero-risk setting in which technical skills can be obtained through repetition. The feasibility and utility of simulated diagnostic cerebral angiography among neurosurgical residents and fellows was studied using an endovascular biplane angiography simulator.

METHODS

Ten neurosurgical residents and four endovascular neurosurgery fellows were recruited into a standardized training protocol consisting of a didactic, demonstration and hands-on learning environment using the Simbionix simulator. Participants were instructed to catheterize the right internal carotid artery, left internal carotid artery and left vertebral artery. The task was repeated five times.

RESULTS

All participants demonstrated improvement over the five trials. Residents performed actions that were perceived as potentially dangerous (n=8) while fellows performed the procedure with superior technique. Residents performed the task with an initial total procedure and fluoroscopy time of 6.6 ± 4.3 min and 4.9 ± 3.7 min, respectively, and improved on the fifth trial to 3.4 ± 1.3 min (p=0.03) and 2.3 ± 0.78 min (p=0.004), respectively. Residents approximated the efficiency of fellows for the third and fourth trial.

CONCLUSIONS

Incorporating an endovascular simulator is feasible for training purposes in a neurosurgical residency program. This study provides objective documentation of the facilitation of technical angiography skill acquisition by the use of simulation technology.

Authors+Show Affiliations

Department of Neurological Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA. aspiotta@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22576472

Citation

Spiotta, Alejandro M., et al. "Simulated Diagnostic Cerebral Angiography in Neurosurgical Training: a Pilot Program." Journal of Neurointerventional Surgery, vol. 5, no. 4, 2013, pp. 376-81.
Spiotta AM, Rasmussen PA, Masaryk TJ, et al. Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program. J Neurointerv Surg. 2013;5(4):376-81.
Spiotta, A. M., Rasmussen, P. A., Masaryk, T. J., Benzel, E. C., & Schlenk, R. (2013). Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program. Journal of Neurointerventional Surgery, 5(4), 376-81. https://doi.org/10.1136/neurintsurg-2012-010319
Spiotta AM, et al. Simulated Diagnostic Cerebral Angiography in Neurosurgical Training: a Pilot Program. J Neurointerv Surg. 2013;5(4):376-81. PubMed PMID: 22576472.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program. AU - Spiotta,Alejandro M, AU - Rasmussen,Peter A, AU - Masaryk,Thomas J, AU - Benzel,Edward C, AU - Schlenk,Richard, Y1 - 2012/05/10/ PY - 2012/5/12/entrez PY - 2012/5/12/pubmed PY - 2014/2/20/medline KW - Neurosurgery KW - aneurysm KW - angiography KW - angioplasty KW - arteriovenous malformation KW - atherosclerosis KW - balloon KW - catheter KW - coil KW - complication KW - device KW - economics KW - education KW - embolic KW - fistula KW - hemorrhage KW - intervention KW - intracranial pressure KW - malformation KW - simulation KW - stenosis KW - stent KW - stroke KW - technique KW - thrombectomy KW - thrombolysis SP - 376 EP - 81 JF - Journal of neurointerventional surgery JO - J Neurointerv Surg VL - 5 IS - 4 N2 - INTRODUCTION: Surgical simulation provides a zero-risk setting in which technical skills can be obtained through repetition. The feasibility and utility of simulated diagnostic cerebral angiography among neurosurgical residents and fellows was studied using an endovascular biplane angiography simulator. METHODS: Ten neurosurgical residents and four endovascular neurosurgery fellows were recruited into a standardized training protocol consisting of a didactic, demonstration and hands-on learning environment using the Simbionix simulator. Participants were instructed to catheterize the right internal carotid artery, left internal carotid artery and left vertebral artery. The task was repeated five times. RESULTS: All participants demonstrated improvement over the five trials. Residents performed actions that were perceived as potentially dangerous (n=8) while fellows performed the procedure with superior technique. Residents performed the task with an initial total procedure and fluoroscopy time of 6.6 ± 4.3 min and 4.9 ± 3.7 min, respectively, and improved on the fifth trial to 3.4 ± 1.3 min (p=0.03) and 2.3 ± 0.78 min (p=0.004), respectively. Residents approximated the efficiency of fellows for the third and fourth trial. CONCLUSIONS: Incorporating an endovascular simulator is feasible for training purposes in a neurosurgical residency program. This study provides objective documentation of the facilitation of technical angiography skill acquisition by the use of simulation technology. SN - 1759-8486 UR - https://www.unboundmedicine.com/medline/citation/22576472/Simulated_diagnostic_cerebral_angiography_in_neurosurgical_training:_a_pilot_program_ L2 - http://jnis.bmj.com/cgi/pmidlookup?view=long&pmid=22576472 DB - PRIME DP - Unbound Medicine ER -