Diagnostic coronary angiography: initial results of a simulation program

Cardiovascular Revascularization Medicine : Including Molecular Interventions
David B CaseyMladen I Vidovich

Abstract

The use of simulator-based teaching in cardiology has unfortunately lagged behind other procedural specialties. This study investigates the utility of a simulator-based training program for fellows in cardiovascular disease with no prior experience in diagnostic coronary angiography. First-year cardiology fellows at University of Illinois-Chicago (UIC) using AngioMentor™ simulators completed benchmark cases requiring basic coronary engagement. Subsequently, benchmark cases were completed one day later and at 9months following 2-3months of training in the cardiac catheterization lab. In addition, 1st year cardiology fellows were compared to 3rd year fellows. Objective measures assessed from benchmark cases were total procedural time, total contrast used, and total fluoroscopy time. All 1st year fellows improved their total time to complete the benchmark case from initial to second attempt one day later (14:56 on Day 1, 8:30 on Day 2, P=0.03). Total contrast used (60mL on Day 1, 39mL on Day 2, P=0.11) and total fluoroscopic time (6:30 on Day 1 and 4:26 on Day 2, P=0.16) also both decreased. Overall procedure time and contrast use were similar among 1st and 3rd year fellows after simulation training. Decreases in procedure and flu...Continue Reading

References

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Citations

Oct 22, 2016·Journal of the American College of Cardiology·Marie Hauguel-Moreau, Julien Adjedj
Aug 3, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Stuart B PrennerDaniel R Schimmel
Apr 22, 2020·Journal of Medical Education and Curricular Development·Indrajeet Mandal, Utkarsh Ojha
Sep 27, 2018·Journal of Medical Internet Research·Quentin FischerOlivier Varenne
Jan 12, 2021·General Thoracic and Cardiovascular Surgery·Ryaan El-AndariJeevan Nagendran
Apr 16, 2020·Archives of Cardiovascular Diseases·Théo PezelUNKNOWN French Commission of Simulation Teaching of the French Society of Cardiology

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