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Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses

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Abstract
Objective. Carotid artery stenting (CAS) is an advanced endovascular intervention with a steep learning curve. Virtual reality (VR) simulation has been proposed as a means to train and objectively assess technical performance. 1: 6 Aim. To objectively assess psychomotor skills acquisition of experienced interventionalists attending a two-day CAS course, using a VR simulator. Methods. Both cognitive and technical skills of 11 interventionalists were trained in a two-day course using didactic sessions, case reviews, supervised VR simulation and live-cases. Pre- and post-course skills were assessed through performance on the same CAS procedure using metrics derived from the simulator. Results. Significant differences were noted between pre- and post-course performance for procedure (36 vs. 20 min., p = 0.005), X-ray (20 vs. 11 min., p = 0.016) and delivery-retrieval time of the embolic protection device (12 vs. 9 min., p = 0.007). Advancement of the guiding catheter without a leading wire occurred to a greater extent pre- versus post-course (199 vs. 152 mm., p = 0.050) as did spasm of the internal carotid artery (4 vs. 2, p = 0.049). Conclusions. This study has objectively proven a benefit for experienced interventionalists to attend CAS courses for skills acquisition measured by a VR simulator. These data can be used to offer participants an insight into their skills and objectively audit course efficacy.

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MLA
Van Herzeele, Isabelle et al. “Experienced Endovascular Interventionalists Objectively Improve Their Skills by Attending Carotid Artery Stent Training Courses.” European Journal Vascular Endovascular Surgery 35.5 (2008): 541–50. Print.
APA
Van Herzeele, I., Aggarwal, R., Neequaye, S., & Hamady, M. (2008). Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses. European Journal Vascular Endovascular Surgery, 35(5), 541–50.
Chicago author-date
Van Herzeele, Isabelle, Rajesh Aggarwal, Simon Neequaye, and Mohamad Hamady. 2008. “Experienced Endovascular Interventionalists Objectively Improve Their Skills by Attending Carotid Artery Stent Training Courses.” European Journal Vascular Endovascular Surgery 35 (5): 541–50.
Chicago author-date (all authors)
Van Herzeele, Isabelle, Rajesh Aggarwal, Simon Neequaye, and Mohamad Hamady. 2008. “Experienced Endovascular Interventionalists Objectively Improve Their Skills by Attending Carotid Artery Stent Training Courses.” European Journal Vascular Endovascular Surgery 35 (5): 541–50.
Vancouver
1.
Van Herzeele I, Aggarwal R, Neequaye S, Hamady M. Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses. European Journal Vascular Endovascular Surgery. 2008;35(5):541–50.
IEEE
[1]
I. Van Herzeele, R. Aggarwal, S. Neequaye, and M. Hamady, “Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses,” European Journal Vascular Endovascular Surgery, vol. 35, no. 5, pp. 541–50, 2008.
@article{836171,
  abstract     = {Objective. Carotid artery stenting (CAS) is an advanced endovascular intervention with a steep learning curve. Virtual reality (VR) simulation has been proposed as a means to train and objectively assess technical performance. 1: 6

Aim. To objectively assess psychomotor skills acquisition of experienced interventionalists attending a two-day CAS course, using a VR simulator.

Methods. Both cognitive and technical skills of 11 interventionalists were trained in a two-day course using didactic sessions, case reviews, supervised VR simulation and live-cases. Pre- and post-course skills were assessed through performance on the same CAS procedure using metrics derived from the simulator.

Results. Significant differences were noted between pre- and post-course performance for procedure (36 vs. 20 min., p = 0.005), X-ray (20 vs. 11 min., p = 0.016) and delivery-retrieval time of the embolic protection device (12 vs. 9 min., p = 0.007). Advancement of the guiding catheter without a leading wire occurred to a greater extent pre- versus post-course (199 vs. 152 mm., p = 0.050) as did spasm of the internal carotid artery (4 vs. 2, p = 0.049).

Conclusions. This study has objectively proven a benefit for experienced interventionalists to attend CAS courses for skills acquisition measured by a VR simulator. These data can be used to offer participants an insight into their skills and objectively audit course efficacy.},
  author       = {Van Herzeele, Isabelle and Aggarwal, Rajesh and Neequaye, Simon and Hamady, Mohamad},
  issn         = {1078-5884},
  journal      = {European Journal Vascular Endovascular Surgery},
  language     = {eng},
  number       = {5},
  pages        = {541--50},
  title        = {Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses},
  url          = {http://dx.doi.org/10.1016/j.ejvs.2007.12.017},
  volume       = {35},
  year         = {2008},
}

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