Xray Exposure Time in Dedicated Academic Simulation Programs Is Realistic of Patient Procedures

EJVES Vascular Forum

Julien Gaudric¹  Jean-Marc Corpateaux²  Jason T. Lee³  Benjamin Deltatto³  Vincenzo Vento³  Luc Mertz³  Emilie Bonnin³  Amelie Camin⁴  Nabil Chakfe⁴  Ambroise Duprey⁴  Frédéric Cochennec⁴  Adrien Hertault⁵  Anne-Florence Rouby⁶  Lydie Steinmetz⁷  Francois Saucy⁸  Mathieu Roussin⁸  Vincent Meteyer⁹  Yannick Georg^1,10  Fabien Thaveau^1,11  Sébastien Deglise^1,12  Tristan Bourcier^1,13  Anaïs Debucquois^1,13  Bettina Chenesseau^1,13  Charline Delay^1,13  Nicole Neumann^1,13  Xavier Berard^1,13  Anne Lejay^1,13  Elixène Jean-Baptiste^1,14  Fabrice Schneider^1,14  Zied Ghariani^1,15 

[1] Corresponding author. Department of Vascular Surgery, Nouvel Hôpital Civil, BP 426, 67091 Strasbourg Cedex, France.;Department of Ophthalmology, University Hospital of Strasbourg, Strasbourg, France;Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France;UNISIMES, Strasbourg, France;Clinique du Diaconat, Fondation du Diaconat, Mulhouse, France;Department of Radiophysics, University Hospital of Strasbourg, Strasbourg, France;Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France;Department of Vascular Surgery, Centre Hospitalier Vaudois, Lausanne, Switzerland;Department of Vascular Surgery, Henri Mondor University Hospital, Creteil, France;Department of Vascular Surgery, University Hospital of Bordeaux, Bordeaux, France;Department of Vascular Surgery, University Hospital of Reims, Reims, France;Division of Vascular Surgery, Stanford University, Stanford, CA, USA;Groupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire, University Hospital of Strasbourg, Strasbourg, France;Hôpital Schweitzer, Fondation du Diaconat, Colmar, France;Polyclinique Bordeaux Nord Aquitaine, Bordeaux, France;

关键词: Education;    Fluoroscopy time;    Simulation;    Vascular surgery;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objective: To ascertain whether simulated endovascular procedures are comparable to real life operating room (OR) procedures, particularly with regard to irradiation time. Methods: This was a retrospective study comparing simulation with clinical data. Fluoroscopy time and overall operation time were compared between simulated abdominal aortic endovascular repair (EVAR) and iliac procedures that were performed, respectively, from 2016 to 2019 and from 2015 to 2019, and clinical EVAR and iliac procedures performed in the OR between January 2018 and November 2021. Results: Within the defined periods, 171 simulated procedures (91 EVAR, 80 iliac) and 199 clinical procedures (111 EVAR, 88 iliac) were performed. For both EVAR and iliac procedures, median total procedure time was much longer during real surgery (p < .001). However, median total fluoroscopy time remained the same, whether the procedure was real surgery or performed on the simulator, for iliac procedures (8.47 minutes in the OR, 8.35 minutes on the simulator, p = .61) and for EVAR procedures (14.80 minutes in the OR, 15.00 minutes on the simulator p = .474). Conclusion: Simulated endovascular procedures are comparable with real life OR procedures, particularly with regard to irradiation time when integrated in a dedicated curriculum.

【 授权许可】

Unknown