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Patient-specific simulation in carotid artery stenting

(2010) JOURNAL OF VASCULAR SURGERY. 52(6). p.1700-1705
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Abstract
Aims: Patient-specific virtual reality (VR) simulation is a technologic advancement that allows planning and practice of the carotid artery stenting (CAS) procedure before it is performed on the patient. The initial findings are reported, using this novel VR technique as a tool to optimize technical and nontechnical aspects of this complex endovascular procedure. Methods: In the angiography suite, the same interventional team performed the VR rehearsal and the actual CAS on the patient. All proceedings were recorded to allow for video analysis of team, technical, and nontechnical skills. Results: Analysis of both procedures showed identical use of endovascular tools, similar access strategy, and a high degree of similarity between the angiography images. The total procedure time (24.04 vs 60.44 minutes), fluoroscopy time (11.19 vs 21.04 minutes), and cannulation of the common carotid artery (1.35 vs 9.34) took considerably longer in reality. An extensive questionnaire revealed that all team members found that the rehearsal increased the subjective sense of teamwork (4/5), communication (4/5), and patient safety (4/5). Conclusion: A VR procedure rehearsal is a practical and feasible preparatory tool for CAS and shows a high correlation with the real procedure. It has the potential to enhance the technical, nontechnical, and team performance. Further research is needed to evaluate if this technology can lead to improved outcomes for patients.
Keywords
SKILLS, MISSION REHEARSAL

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MLA
Willaert, Willem, Rajesh Aggarwal, Colin Bicknell, et al. “Patient-specific Simulation in Carotid Artery Stenting.” JOURNAL OF VASCULAR SURGERY 52.6 (2010): 1700–1705. Print.
APA
Willaert, Willem, Aggarwal, R., Bicknell, C., Hamady, M., Darzi, A., Vermassen, F., & Cheshire, N. (2010). Patient-specific simulation in carotid artery stenting. JOURNAL OF VASCULAR SURGERY, 52(6), 1700–1705.
Chicago author-date
Willaert, Willem, Rajesh Aggarwal, Colin Bicknell, Mo Hamady, Ara Darzi, Frank Vermassen, and Nicholas Cheshire. 2010. “Patient-specific Simulation in Carotid Artery Stenting.” Journal of Vascular Surgery 52 (6): 1700–1705.
Chicago author-date (all authors)
Willaert, Willem, Rajesh Aggarwal, Colin Bicknell, Mo Hamady, Ara Darzi, Frank Vermassen, and Nicholas Cheshire. 2010. “Patient-specific Simulation in Carotid Artery Stenting.” Journal of Vascular Surgery 52 (6): 1700–1705.
Vancouver
1.
Willaert W, Aggarwal R, Bicknell C, Hamady M, Darzi A, Vermassen F, et al. Patient-specific simulation in carotid artery stenting. JOURNAL OF VASCULAR SURGERY. 2010;52(6):1700–5.
IEEE
[1]
W. Willaert et al., “Patient-specific simulation in carotid artery stenting,” JOURNAL OF VASCULAR SURGERY, vol. 52, no. 6, pp. 1700–1705, 2010.
@article{3072875,
  abstract     = {Aims: Patient-specific virtual reality (VR) simulation is a technologic advancement that allows planning and practice of the carotid artery stenting (CAS) procedure before it is performed on the patient. The initial findings are reported, using this novel VR technique as a tool to optimize technical and nontechnical aspects of this complex endovascular procedure. 
Methods: In the angiography suite, the same interventional team performed the VR rehearsal and the actual CAS on the patient. All proceedings were recorded to allow for video analysis of team, technical, and nontechnical skills. 
Results: Analysis of both procedures showed identical use of endovascular tools, similar access strategy, and a high degree of similarity between the angiography images. The total procedure time (24.04 vs 60.44 minutes), fluoroscopy time (11.19 vs 21.04 minutes), and cannulation of the common carotid artery (1.35 vs 9.34) took considerably longer in reality. An extensive questionnaire revealed that all team members found that the rehearsal increased the subjective sense of teamwork (4/5), communication (4/5), and patient safety (4/5). 
Conclusion: A VR procedure rehearsal is a practical and feasible preparatory tool for CAS and shows a high correlation with the real procedure. It has the potential to enhance the technical, nontechnical, and team performance. Further research is needed to evaluate if this technology can lead to improved outcomes for patients.},
  author       = {Willaert, Willem and Aggarwal, Rajesh and Bicknell, Colin and Hamady, Mo and Darzi, Ara and Vermassen, Frank and Cheshire, Nicholas},
  issn         = {0741-5214},
  journal      = {JOURNAL OF VASCULAR SURGERY},
  keywords     = {SKILLS,MISSION REHEARSAL},
  language     = {eng},
  number       = {6},
  pages        = {1700--1705},
  title        = {Patient-specific simulation in carotid artery stenting},
  url          = {http://dx.doi.org/10.1016/j.jvs.2010.08.015},
  volume       = {52},
  year         = {2010},
}

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