Article (Scientific journals)
The safety and feasibility of live-stream proctoring for CTO procedures.
Ungureanu, Claudiu; Yamane, Masahisa; Kayaert, Peter et al.
2023In Journal of Invasive Cardiology, 35 (10)
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Keywords :
CTO; complex coronary percutaneous interventions; coronary chronic total occlusion; protoring; telemedicine; Humans; Feasibility Studies; Treatment Outcome; Chronic Disease; Risk Factors; Registries; Coronary Angiography/methods; Percutaneous Coronary Intervention/methods; Coronary Occlusion/diagnosis; Coronary Occlusion/surgery; Coronary Occlusion/etiology; Cardiologists
Abstract :
[en] [en] OBJECTIVE: To assess the technical feasibility of a new method of educational training, based on audio-video (AV) communication between an interventional cardiologist and the cath lab staff members in one location and a remote expert proctor. METHODS: Overall, 9 patients underwent a percutaneous coronary intervention (PCI) targeting a chronic total occlusion (CTO) between June 2021 and January 2022 at a single Belgian center using the virtual proctoring approach. For this assessment, the strategic planning of the CTO PCI and all the decisions throughout the intervention were the responsibility of the proctor. The operator was guided via an AV link, by the proctor throughout the procedure. RESULTS: The operator performed each procedural step, guided by the remote proctor, who had continuous access to all relevant interventional details. No major adverse cardiac events (MACE) occurred during the index hospitalization or within 6 months follow-up. CONCLUSIONS: A new method of virtual proctoring based on live AV communication is feasible, even in the case of highly complex CTO PCI procedures. This strategy also appears safe and may provide the patient the benefit of incremental expertise. This approach is facilitated by advances in AV communication and allows physicians to share expertise irrespective of location. It could increase global interaction between colleagues and facilitate sharing of knowledge, which are both key aspects in the development of CTO PCI. This preliminary experience could serve as a basis for future large studies to study the potential role and benefits of virtual proctoring for complex CTO PCI procedures.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Ungureanu, Claudiu ;  Université de Mons - UMONS ; Jolimont Hospital, La Louvière, Belgium. Email:ungureanu.claudiu@ymail.com
Yamane, Masahisa;  Saitima St. Luke's International Hospital, Tokyo, Japan
Kayaert, Peter;  Ghent University Hospital, Ghent, Belgium
Knaapen, Paul;  Heart Center of the Amsterdam University Medical Centers, Amsterdam, the Netherlands
Mashayekhi, Kambis;  Heart Center Lahr/Baden , Lahr/Schwarzwald, Germany
Alaswad, Khaldoon;  Edith and Benson Ford Heart and Vascular Institute, Henry Ford Hospital, Henry Ford Health System, Wayne State University, Detroit, Michigan
Spratt, James C;  St. George's University Hospital NHS Foundation Trust, London, UKn
Gasparini, Gabriele Luigi;  Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy
Dens, Joseph;  ZOL, Genk, Belgium
Lepièce, Caroline;  Jolimont Hospital, La Louvière, Belgium
Carlier, Stéphane  ;  Université de Mons - UMONS > Faculté de Médecine et de Pharmac > Service de Cardiologie
Sgueglia, Gregory A;  Sant'Eugenio Hospital, Rome, Italy
Avran, Alexander;  Hospital Centre Valenciennes, Valenciennes, France
More authors (3 more) Less
Language :
English
Title :
The safety and feasibility of live-stream proctoring for CTO procedures.
Publication date :
October 2023
Journal title :
Journal of Invasive Cardiology
ISSN :
1042-3931
eISSN :
1557-2501
Publisher :
HMP Communications, Us pa
Volume :
35
Issue :
10
Peer reviewed :
Peer Reviewed verified by ORBi
Research unit :
M106 - Cardiologie
Research institute :
Santé
Available on ORBi UMONS :
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