The impact of live case transmission on patient outcomes during transcatheter aortic valve replacement: Results from the VERITAS study

Objective The objective of this article is to describe a live case transmission of transcatheter closure of a patent ductus arteriosus (PDA) in an extremely low birth weight (ELBW) infant during the first International PDA Symposium conducted in Memphis, Tennessee. Setting A multidisciplinary team approach including audiovisual specialists, information technology specialists, physicians, nurses, and other health care specialists was required to perform the transcatheter PDA closure (TCPC) in an ELBW infant at LeBonheur Children’s Hospital and the procedure was broadcast live to the attendees at the International PDA Symposium allowing for a two‐way audiovisual discussion during the procedure. Patient The patient was a 14 days old 24‐week premature ELBW infant, who weighed 700 g at the time of the procedure. The patient was requiring mechanical ventilation secondary to pulmonary hemorrhage. The PDA measured 4 mm in diameter and 12 mm in length. Interventions TCPC was performed safely without any procedural complications using a specialized minimally invasive technique. Outcome Measures The patient was weaned off the ventilator in < 7 days after the procedure. The child was discharged 9 weeks after the procedure (35 weeks’ corrected gestation) weighing 2.2 kg, on full oral feeds and no supplemental oxygen. Results The successful TCPC allowed for this child to have an uneventful hospital course. The case also highlights the technical nuances involved in setting up the live transmission. Conclusions This case demonstrated to the audience in the International PDA Symposium the feasibility and safety of performing TCPC in an ELBW infant. Live cases are useful in exhibiting the nuances involved in any new technique and allows for best learning experience.

show abstract

“…Every step must go smooth including the transmission. 6,7 It is imperative to have redundant video transmission paths.…”

Section: Discussionmentioning

confidence: 99%

“…Performing a live case on a 700‐g infant requires a lot of courage and conviction. Every step must go smooth including the transmission . It is imperative to have redundant video transmission paths.…”

Section: Discussionmentioning

confidence: 99%

Live broadcast of transcatheter PDA closure in a 700 grams ELBW infant during the International PDA Symposium

Sathanandam

Gianinni

Sefton

et al. 2019

Congenital Heart Disease

View full text Add to dashboard Cite

show abstract

“…In this series, the incidence of complications did not differ compared to patients undergoing conventional treatment . More recent studies, published after the edition of dedicated guidelines in 2010, showed similar outcomes compared to routinely performed cardiovascular procedures, including PCI for chronic total occlusion and transcatheter aortic valve implantation …”

Section: Discussionmentioning

confidence: 99%

“…28 29 More recent studies, published after the edition of dedicated guidelines in 2010, 4,5 showed similar outcomes compared to routinely performed cardiovascular procedures, 30 including PCI for chronic total occlusion 31 and transcatheter aortic valve implantation. 32 Live case demonstrations represent a general trend also in other specialties. As an example, Liao et al showed a lower success rate, but no difference in the frequency of complications, in a large multicenter study investigating therapeutic endoscopic retrograde cholangiopancreatography during live transmissions.…”

Section: Comparison Of Periprocedural Endpoints With the Propensitymentioning

confidence: 97%

Percutaneous patent foramen ovale closure during live case demonstrations

Praz

Siontis

Xhigoli

et al. 2018

Cathet Cardio Intervent

View full text Add to dashboard Cite

Background Live case demonstrations serve as an educational tool for interventional techniques in cardiology. The aim of this study was to assess the safety and technical success of percutaneous patent foramen ovale (PFO) closure during live case demonstrations. Methods All patients who had undergone percutaneous PFO closure with Amplatzer devices during live case demonstrations at our institution were consecutively included in this retrospective analysis. Procedure related events were compared with summary event rates derived from the eight randomized controlled trials (RCTs) investigating PFO closure, as well as with a propensity matched cohort of patients treated under usual conditions. Results From April 2004 to June 2015, 142 patients underwent percutaneous PFO closure during live demonstrations, mainly for secondary prevention of cryptogenic cerebrovascular events. The interventions were fluoroscopy guided and successful in all but three cases (2%). Minor adverse events occurred in nine patients (6%). Contrast TEE performed at about 6 months showed complete closure in 84%. No significant differences with regard to technical success and major complications rate were found compared to RCTs, except for an increased rate of minor bleeding observed during live case demonstrations (P for difference < 0.001), mainly attributable to concomitant arterial access for incidental coronary angiography performed in 70% of patients. Except for slightly longer procedure duration, no difference was found compared to a matched population treated under usual conditions. Conclusion Percutaneous PFO closure can be performed during live case demonstrations with the same high technical success as during routine cases.

show abstract

Safety of Live Case Demonstrations in Patients Undergoing Percutaneous Coronary Intervention for Chronic Total Occlusion

Shimura

Yamamoto

Tsuchikane

et al. 2016

The American Journal of Cardiology

View full text Add to dashboard Cite

The impact of live case transmission on patient outcomes during transcatheter aortic valve replacement: Results from the VERITAS study

Cited by 7 publications

References 12 publications

Live broadcast of transcatheter PDA closure in a 700 grams ELBW infant during the International PDA Symposium

Live broadcast of transcatheter PDA closure in a 700 grams ELBW infant during the International PDA Symposium

Percutaneous patent foramen ovale closure during live case demonstrations

Safety of Live Case Demonstrations in Patients Undergoing Percutaneous Coronary Intervention for Chronic Total Occlusion

Contact Info

Product

Resources

About