Simulation case rehearsals for carotid artery stenting.
A case series of 5 patients is presented assessing the utility of simulation case rehearsals of individual patients for carotid artery stenting on an endovascular simulator. Simulated and operative device dimensions were similar. Results of subjective surveys indicated that face and content validity were excellent. The simulations predicted difficulty with vessel cannulation, however had difficulty predicting post-stent changes in bifurcation angulation. Our experience suggests that it may be feasible to use patient-specific CTA-derived data in the creation of a realistic case rehearsal simulation. The overall utility of this concept, including cost-benefit analysis, has yet to be determined.
Division of Vascular Surgery Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
S J
SJ
Hislop
J H
JH
Hedrick
M J
MJ
Singh
J M
JM
Rhodes
D L
DL
Gillespie
M
M
Johansson
K A
KA
Illig
D000800:Angioplasty, Balloon / Q000193:education / Q000295:instrumentation; D002983:Clinical Competence; D003198:Computer Simulation; D003194:Computer-Assisted Instruction; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D004503:Education, Medical, Graduate; D006801:Humans; D007396:Internship and Residency; D008955:Models, Cardiovascular; D010865:Pilot Projects; D011859:Radiography; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome