Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program

Journal of Neurointerventional Surgery
Alejandro M SpiottaRichard Schlenk

Abstract

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. 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. 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. Incorporating an endovascular simulat...Continue Reading

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Citations

Jul 19, 2013·Cardiovascular and Interventional Radiology·Gabriel BartalDonald L Miller
Jun 21, 2014·Journal of Neurosurgery·Matthew A KirkmanNick Sevdalis
Jun 21, 2013·International Journal of Computer Assisted Radiology and Surgery·Nicholas Gélinas-PhaneufRolando F Del Maestro
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Jul 23, 2014·Neurosurgery·Kristopher G HootenGregory J A Murad
Jul 20, 2019·Journal of Neurointerventional Surgery·Marie Teresa NawkaAndreas Frölich
Jul 31, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Johanna Maria OspelMayank Goyal
Sep 18, 2020·PloS One·Marie Teresa NawkaAndreas Maximilian Frölich
Apr 19, 2020·Clinical Neuroradiology·Kornelia KreiserJan S Kirschke
May 4, 2017·Neurosurgical Focus·Karthik MadhavanMichael Y Wang
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Jul 7, 2020·Arquivos de neuro-psiquiatria·João Renato Figueiredo SouzaJuliana Paiva Marques Lima Rolim

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