Influence of patient-specific rehearsal on operative metrics and technical success for endovascular aneurysm repair

Våpenstad, Cecilie; Lamøy, Siv Marit Jonli; Aasgaard, F.; Manstad-Hulaas, Frode; Aadahl, Petter; Søvik, Edmund; Stensæth, Knut Haakon

doi:10.1080/13645706.2020.1727523

Cited by 5 publications

(13 citation statements)

References 24 publications

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“…All the studies with a control group, as depicted in Figure 2 , reached level 3. The only study to show a significant reduction in overall procedure time for PsR was Våpenstad et al [ 18 ] ( p = 0.017) ( Figure 2 ). However, both Wooster et al [ 17 ] and Desender et al (2016) [ 16 ] noticed a non-significant reduction in procedure time.…”

Section: Resultsmentioning

confidence: 99%

“…This was the only randomized control trial in this review, although Wooster et al [ 17 ] actively randomized the enrollees by computer settings. In Våpenstad et al [ 18 ], the patients were allocated to the PsR group when a simulator was available. In Wooster et al [ 17 ], the training location changed during the trial, and the study was thus terminated prematurely, which the authors stated affected the p-values, all of which were >0.05.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies used the ANGIO mentor (Simbionix, Cleveland, OH, USA), and one study, Våpenstad et al [ 18 ], used the Vascular Intervention System Trainer (VIST) simulator (Mentice AB, Gothenburg, Sweden).…”

Section: Resultsmentioning

confidence: 99%

“…Desender et al (2016) [ 16 ] noted a significant difference in the number of angiograms performed to visualize EVAR’s proximal and distal landing zones with differences of −23% ( p = 0.005) and −21% ( p = 0.004), respectively, with PsR. These metrics were, however, not evaluated in Våpenstad et al [ 18 ] or Wooster et al [ 17 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study found a reduction of potential errors with PsR [ 13 , 16 ]. Four studies with a control group showed a reduction in overall procedure time and fewer angiograms, with significant differences in one study for each, when using the PsR [ 13 , 16 , 17 , 18 ]. The papers differed in significant metrics; thus, a firm conclusion of overall benefit was a challenge.…”

Section: Discussionmentioning

confidence: 99%

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Simulation-Based Virtual-Reality Patient-Specific Rehearsal Prior to Endovascular Procedures: A Systematic Review

et al. 2020

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Patient-specific rehearsal (PsR) is a new concept whereby a procedure can be rehearsed virtually using the exact patient’s anatomical data prior to performing the real procedure. The aim of this study was to ascertain if endovascular virtual-reality PsR simulation enhanced performance in real life. This was done by performing a systematic review following the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. A literature search was conducted in PubMed, Embase, The Cochrane Library and Web of Science concerning PsR in endovascular procedures. All publications were handled using Covidence. Reference lists were also screened. Data extracted from the studies were realism rating, procedure time, fluoroscopy time, contrast volume, number of angiograms and reduction of errors. Kirkpatrick’s four-level model for measuring the efficiency of training was used for guidance of the relevance of studies. The search yielded 1155 results after the exclusion of duplicates, and 11 studies were included. Four studies had a control group, including one randomized trial; the remaining seven were feasibility studies. The realism was rated high, and overall, the studies showed improvements in procedure time, fluoroscopy time and contrast volume after PsR. One study assessed and confirmed the reduction in errors after PsR. Only two studies included more than 15 patients in their cohort. Kirkpatrick’s model was applied to all studies, with one study reaching level 4. All studies found the concept of PsR to be feasible and realistic. The studies with a control group showed a reduction of overall procedure time, radiation exposure and potential errors in endovascular procedures following PsR.

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Section: Resultsmentioning

confidence: 99%