HapticV1, PascalFrancis, Corpus, bibRecord, 000F07

Computer simulation as a component of catheter-based training. Commentary

Identifieur interne : 000F07 ( PascalFrancis/Corpus ); précédent : 000F06; suivant : 000F08

Computer simulation as a component of catheter-based training. Commentary

Auteurs : Rajeev Dayal ; Peter L. Faries ; Stephanie C. Lin ; Joshua Bernheim ; Scott Hollenbeck ; Brian Derubertis ; Susan Trocciola ; Jason Rhee ; James Mckinsey ; Nicholas J. Morrissey ; K. Craig Kent ; Sean P. Lyden ; Peter L. Faries

Source :

Journal of vascular surgery [ 0741-5214 ] ; 2004.

RBID : Pascal:05-0069683

Descripteurs français

Pascal (Inist)
- Appareil circulatoire pathologie, Chirurgie, Simulation ordinateur, Cathéter.

English descriptors

KwdEn :
- Cardiovascular disease, Catheter, Computer simulation, Surgery.

Abstract

Introduction: Computer simulation has been used in a variety of training programs, ranging from airline piloting to general surgery. In this study we evaluate the use of simulation to train novice and advanced interventionalists in catheter-based techniques. Methods: Twenty-one physicians underwent evaluation in a simulator training program that involved placement of a carotid stent. Five participants were highly experienced in catheter-based techniques (>300 percutaneous cases), including carotid angioplasty and stenting (CAS); the remaining 16 participants were interventional novices (<5 percutaneous cases). The Procedicus VIST simulator, composed of real-time vascular imaging simulation software and a tactile interface coupled to angiographic catheters and guide wires, was used. After didactic instruction regarding CAS and use of the simulator, each participant performed a simulated CAS procedure. The participant's performance was supervised and evaluated by an expert interventionalist on the basis of 50 specific procedural steps with a maximal score of 100. Specific techniques of guide wire and catheter manipulation were subjectively assessed on a scale of 0 to 5 points based on ability. After evaluation of the initial simulated CAS procedure, each participant received a minimum of 2 hours of individualized training by the expert interventionalist, with the VIST simulator. Each participant then performed a second simulated CAS procedure, which was graded with the same scale. After completion, participants assessed the training program and its utility via survey questionnaire. Results: The average simulated score for novice participants after the training program improved significantly from 17.8 ± 15.6 to 69.8 ± 9.8 (P <.01), time to complete simulation decreased from 44 ± 10 minutes to 30 ± 8 minutes (P < .01), and fluoroscopy time decreased from 31 ± 7 minutes to 23 ± 7 minutes (P <.01). No statistically significant difference in score, total time, or fluoroscopy time was noted for experienced interventionalists. Improvement was noted in guide wire and catheter manipulation skills in novices.. Analysis of survey data from experienced interventionalists indicated that the simulated clinical scenarios were realistic and that the simulator could be a valuable tool if clinical and tactile feedback were improved. Novices also thought the simulated training was a valuable experience, and desired further training time. Conclusions: An endovascular training program using the Procedicus VIST haptic simulator resulted in significant improvement in trainee facility with catheter-based techniques in a simulated clinical setting. Novice participants derived the greatest benefit from simulator training in a mentored program, whereas experienced interventionalists did not seem to derive significant benefit.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0741-5214`
A02	`01`			`@0 JVSUES`
A03		`1`		`@0 J. vasc. surg.`
A05				`@2 40`
A06				`@2 6`
A08	`01`	`1`	`ENG`	`@1 Computer simulation as a component of catheter-based training. Commentary`
A11	`01`	`1`		`@1 DAYAL (Rajeev)`
A11	`02`	`1`		`@1 FARIES (Peter L.)`
A11	`03`	`1`		`@1 LIN (Stephanie C.)`
A11	`04`	`1`		`@1 BERNHEIM (Joshua)`
A11	`05`	`1`		`@1 HOLLENBECK (Scott)`
A11	`06`	`1`		`@1 DERUBERTIS (Brian)`
A11	`07`	`1`		`@1 TROCCIOLA (Susan)`
A11	`08`	`1`		`@1 RHEE (Jason)`
A11	`09`	`1`		`@1 MCKINSEY (James)`
A11	`10`	`1`		`@1 MORRISSEY (Nicholas J.)`
A11	`11`	`1`		`@1 KENT (K. Craig)`
A11	`12`	`1`		`@1 LYDEN (Sean P.) @9 comment.`
A11	`13`	`1`		`@1 FARIES (Peter L.) @9 comment.`
A14	`01`			`@1 Department of Surgery, The New York-Presbyterian Hospital, Weill Medical College of Cornell University and Columbia College of Physicians and Surgeons @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut. @Z 10 aut. @Z 11 aut.`
A20				`@1 1112-1117`
A21				`@1 2004`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 20352 @5 354000126022400080`
A44				`@0 0000 @1 © 2005 INIST-CNRS. All rights reserved.`
A45				`@0 21 ref.`
A47	`01`	`1`		`@0 05-0069683`
A60				`@1 P @2 C @3 AR @3 CT`
A61				`@0 A`
A64	`01`	`1`		`@0 Journal of vascular surgery`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Introduction: Computer simulation has been used in a variety of training programs, ranging from airline piloting to general surgery. In this study we evaluate the use of simulation to train novice and advanced interventionalists in catheter-based techniques. Methods: Twenty-one physicians underwent evaluation in a simulator training program that involved placement of a carotid stent. Five participants were highly experienced in catheter-based techniques (>300 percutaneous cases), including carotid angioplasty and stenting (CAS); the remaining 16 participants were interventional novices (<5 percutaneous cases). The Procedicus VIST simulator, composed of real-time vascular imaging simulation software and a tactile interface coupled to angiographic catheters and guide wires, was used. After didactic instruction regarding CAS and use of the simulator, each participant performed a simulated CAS procedure. The participant's performance was supervised and evaluated by an expert interventionalist on the basis of 50 specific procedural steps with a maximal score of 100. Specific techniques of guide wire and catheter manipulation were subjectively assessed on a scale of 0 to 5 points based on ability. After evaluation of the initial simulated CAS procedure, each participant received a minimum of 2 hours of individualized training by the expert interventionalist, with the VIST simulator. Each participant then performed a second simulated CAS procedure, which was graded with the same scale. After completion, participants assessed the training program and its utility via survey questionnaire. Results: The average simulated score for novice participants after the training program improved significantly from 17.8 ± 15.6 to 69.8 ± 9.8 (P <.01), time to complete simulation decreased from 44 ± 10 minutes to 30 ± 8 minutes (P < .01), and fluoroscopy time decreased from 31 ± 7 minutes to 23 ± 7 minutes (P <.01). No statistically significant difference in score, total time, or fluoroscopy time was noted for experienced interventionalists. Improvement was noted in guide wire and catheter manipulation skills in novices.. Analysis of survey data from experienced interventionalists indicated that the simulated clinical scenarios were realistic and that the simulator could be a valuable tool if clinical and tactile feedback were improved. Novices also thought the simulated training was a valuable experience, and desired further training time. Conclusions: An endovascular training program using the Procedicus VIST haptic simulator resulted in significant improvement in trainee facility with catheter-based techniques in a simulated clinical setting. Novice participants derived the greatest benefit from simulator training in a mentored program, whereas experienced interventionalists did not seem to derive significant benefit.
C02	`01`	`X`		`@0 002B25F`
C02	`02`	`X`		`@0 002B25E`
C02	`03`	`X`		`@0 002B12B03`
C03	`01`	`X`	`FRE`	`@0 Appareil circulatoire pathologie @5 01`
C03	`01`	`X`	`ENG`	`@0 Cardiovascular disease @5 01`
C03	`01`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 01`
C03	`02`	`X`	`FRE`	`@0 Chirurgie @5 02`
C03	`02`	`X`	`ENG`	`@0 Surgery @5 02`
C03	`02`	`X`	`SPA`	`@0 Cirugía @5 02`
C03	`03`	`X`	`FRE`	`@0 Simulation ordinateur @5 03`
C03	`03`	`X`	`ENG`	`@0 Computer simulation @5 03`
C03	`03`	`X`	`SPA`	`@0 Simulación computadora @5 03`
C03	`04`	`X`	`FRE`	`@0 Cathéter @5 05`
C03	`04`	`X`	`ENG`	`@0 Catheter @5 05`
C03	`04`	`X`	`SPA`	`@0 Catéter @5 05`
N21				`@1 038`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

A30	`01`	`1`	`ENG`	`@1 Annual Meeting of the Society for Vascular Society @2 57 @3 Anaheim, CA USA @4 2004-06-03`

Format Inist (serveur)

NO :	PASCAL 05-0069683 INIST
ET :	Computer simulation as a component of catheter-based training. Commentary
AU :	DAYAL (Rajeev); FARIES (Peter L.); LIN (Stephanie C.); BERNHEIM (Joshua); HOLLENBECK (Scott); DERUBERTIS (Brian); TROCCIOLA (Susan); RHEE (Jason); MCKINSEY (James); MORRISSEY (Nicholas J.); KENT (K. Craig); LYDEN (Sean P.); FARIES (Peter L.)
AF :	Department of Surgery, The New York-Presbyterian Hospital, Weill Medical College of Cornell University and Columbia College of Physicians and Surgeons/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut., 10 aut., 11 aut.)
DT :	Publication en série; Congrès; Article; Commentaire; Niveau analytique
SO :	Journal of vascular surgery; ISSN 0741-5214; Coden JVSUES; Etats-Unis; Da. 2004; Vol. 40; No. 6; Pp. 1112-1117; Bibl. 21 ref.
LA :	Anglais
EA :	Introduction: Computer simulation has been used in a variety of training programs, ranging from airline piloting to general surgery. In this study we evaluate the use of simulation to train novice and advanced interventionalists in catheter-based techniques. Methods: Twenty-one physicians underwent evaluation in a simulator training program that involved placement of a carotid stent. Five participants were highly experienced in catheter-based techniques (>300 percutaneous cases), including carotid angioplasty and stenting (CAS); the remaining 16 participants were interventional novices (<5 percutaneous cases). The Procedicus VIST simulator, composed of real-time vascular imaging simulation software and a tactile interface coupled to angiographic catheters and guide wires, was used. After didactic instruction regarding CAS and use of the simulator, each participant performed a simulated CAS procedure. The participant's performance was supervised and evaluated by an expert interventionalist on the basis of 50 specific procedural steps with a maximal score of 100. Specific techniques of guide wire and catheter manipulation were subjectively assessed on a scale of 0 to 5 points based on ability. After evaluation of the initial simulated CAS procedure, each participant received a minimum of 2 hours of individualized training by the expert interventionalist, with the VIST simulator. Each participant then performed a second simulated CAS procedure, which was graded with the same scale. After completion, participants assessed the training program and its utility via survey questionnaire. Results: The average simulated score for novice participants after the training program improved significantly from 17.8 ± 15.6 to 69.8 ± 9.8 (P <.01), time to complete simulation decreased from 44 ± 10 minutes to 30 ± 8 minutes (P < .01), and fluoroscopy time decreased from 31 ± 7 minutes to 23 ± 7 minutes (P <.01). No statistically significant difference in score, total time, or fluoroscopy time was noted for experienced interventionalists. Improvement was noted in guide wire and catheter manipulation skills in novices.. Analysis of survey data from experienced interventionalists indicated that the simulated clinical scenarios were realistic and that the simulator could be a valuable tool if clinical and tactile feedback were improved. Novices also thought the simulated training was a valuable experience, and desired further training time. Conclusions: An endovascular training program using the Procedicus VIST haptic simulator resulted in significant improvement in trainee facility with catheter-based techniques in a simulated clinical setting. Novice participants derived the greatest benefit from simulator training in a mentored program, whereas experienced interventionalists did not seem to derive significant benefit.
CC :	002B25F; 002B25E; 002B12B03
FD :	Appareil circulatoire pathologie; Chirurgie; Simulation ordinateur; Cathéter
ED :	Cardiovascular disease; Surgery; Computer simulation; Catheter
SD :	Aparato circulatorio patología; Cirugía; Simulación computadora; Catéter
LO :	INIST-20352.354000126022400080
ID :	05-0069683

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Pascal:05-0069683

Le document en format XML

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<series><title level="j" type="main">Journal of vascular surgery</title>
<title level="j" type="abbreviated">J. vasc. surg.</title>
<idno type="ISSN">0741-5214</idno>
<imprint><date when="2004">2004</date>
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<keywords scheme="Pascal" xml:lang="fr"><term>Appareil circulatoire pathologie</term>
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<front><div type="abstract" xml:lang="en">Introduction: Computer simulation has been used in a variety of training programs, ranging from airline piloting to general surgery. In this study we evaluate the use of simulation to train novice and advanced interventionalists in catheter-based techniques. Methods: Twenty-one physicians underwent evaluation in a simulator training program that involved placement of a carotid stent. Five participants were highly experienced in catheter-based techniques (>300 percutaneous cases), including carotid angioplasty and stenting (CAS); the remaining 16 participants were interventional novices (<5 percutaneous cases). The Procedicus VIST simulator, composed of real-time vascular imaging simulation software and a tactile interface coupled to angiographic catheters and guide wires, was used. After didactic instruction regarding CAS and use of the simulator, each participant performed a simulated CAS procedure. The participant's performance was supervised and evaluated by an expert interventionalist on the basis of 50 specific procedural steps with a maximal score of 100. Specific techniques of guide wire and catheter manipulation were subjectively assessed on a scale of 0 to 5 points based on ability. After evaluation of the initial simulated CAS procedure, each participant received a minimum of 2 hours of individualized training by the expert interventionalist, with the VIST simulator. Each participant then performed a second simulated CAS procedure, which was graded with the same scale. After completion, participants assessed the training program and its utility via survey questionnaire. Results: The average simulated score for novice participants after the training program improved significantly from 17.8 ± 15.6 to 69.8 ± 9.8 (P <.01), time to complete simulation decreased from 44 ± 10 minutes to 30 ± 8 minutes (P < .01), and fluoroscopy time decreased from 31 ± 7 minutes to 23 ± 7 minutes (P <.01). No statistically significant difference in score, total time, or fluoroscopy time was noted for experienced interventionalists. Improvement was noted in guide wire and catheter manipulation skills in novices.. Analysis of survey data from experienced interventionalists indicated that the simulated clinical scenarios were realistic and that the simulator could be a valuable tool if clinical and tactile feedback were improved. Novices also thought the simulated training was a valuable experience, and desired further training time. Conclusions: An endovascular training program using the Procedicus VIST haptic simulator resulted in significant improvement in trainee facility with catheter-based techniques in a simulated clinical setting. Novice participants derived the greatest benefit from simulator training in a mentored program, whereas experienced interventionalists did not seem to derive significant benefit.</div>
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<server><NO>PASCAL 05-0069683 INIST</NO>
<ET>Computer simulation as a component of catheter-based training. Commentary</ET>
<AU>DAYAL (Rajeev); FARIES (Peter L.); LIN (Stephanie C.); BERNHEIM (Joshua); HOLLENBECK (Scott); DERUBERTIS (Brian); TROCCIOLA (Susan); RHEE (Jason); MCKINSEY (James); MORRISSEY (Nicholas J.); KENT (K. Craig); LYDEN (Sean P.); FARIES (Peter L.)</AU>
<AF>Department of Surgery, The New York-Presbyterian Hospital, Weill Medical College of Cornell University and Columbia College of Physicians and Surgeons/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut., 10 aut., 11 aut.)</AF>
<DT>Publication en série; Congrès; Article; Commentaire; Niveau analytique</DT>
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<EA>Introduction: Computer simulation has been used in a variety of training programs, ranging from airline piloting to general surgery. In this study we evaluate the use of simulation to train novice and advanced interventionalists in catheter-based techniques. Methods: Twenty-one physicians underwent evaluation in a simulator training program that involved placement of a carotid stent. Five participants were highly experienced in catheter-based techniques (>300 percutaneous cases), including carotid angioplasty and stenting (CAS); the remaining 16 participants were interventional novices (<5 percutaneous cases). The Procedicus VIST simulator, composed of real-time vascular imaging simulation software and a tactile interface coupled to angiographic catheters and guide wires, was used. After didactic instruction regarding CAS and use of the simulator, each participant performed a simulated CAS procedure. The participant's performance was supervised and evaluated by an expert interventionalist on the basis of 50 specific procedural steps with a maximal score of 100. Specific techniques of guide wire and catheter manipulation were subjectively assessed on a scale of 0 to 5 points based on ability. After evaluation of the initial simulated CAS procedure, each participant received a minimum of 2 hours of individualized training by the expert interventionalist, with the VIST simulator. Each participant then performed a second simulated CAS procedure, which was graded with the same scale. After completion, participants assessed the training program and its utility via survey questionnaire. Results: The average simulated score for novice participants after the training program improved significantly from 17.8 ± 15.6 to 69.8 ± 9.8 (P <.01), time to complete simulation decreased from 44 ± 10 minutes to 30 ± 8 minutes (P < .01), and fluoroscopy time decreased from 31 ± 7 minutes to 23 ± 7 minutes (P <.01). No statistically significant difference in score, total time, or fluoroscopy time was noted for experienced interventionalists. Improvement was noted in guide wire and catheter manipulation skills in novices.. Analysis of survey data from experienced interventionalists indicated that the simulated clinical scenarios were realistic and that the simulator could be a valuable tool if clinical and tactile feedback were improved. Novices also thought the simulated training was a valuable experience, and desired further training time. Conclusions: An endovascular training program using the Procedicus VIST haptic simulator resulted in significant improvement in trainee facility with catheter-based techniques in a simulated clinical setting. Novice participants derived the greatest benefit from simulator training in a mentored program, whereas experienced interventionalists did not seem to derive significant benefit.</EA>
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Computer simulation as a component of catheter-based training. Commentary

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