Superiority of Simulator-Based Training Compared With Conventional Training Methodologies in the Performance of Transseptal Catheterization

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:58

Article

De Ponti, Roberto^1,3  Marazzi, Raffaella^1,3  Ghiringhelli, Sergio^1,3  Salerno-Uriarte, Jorge A.^1,3  Calkins, Hugh²  Cheng, Alan² 

[1] Univ Insubria, Osped Circolo, Dept Heart Brain & Vessels, IT-21100 Varese, Italy

[2] Johns Hopkins Univ, Sch Med, Dept Med, Div Cardiol, Baltimore, MD 21205 USA

[3] Univ Insubria, Fdn Macchi, IT-21100 Varese, Italy

关键词: atrial fibrillation ablation;    catheter ablation;    simulator training;    transseptal catheterization;   

DOI  :  10.1016/j.jacc.2011.02.063

来源: Elsevier

【 摘 要 】

Objectives This study aims to compare the performance of electrophysiology fellows in transseptal catheterization (TSP-C) after conventional (Conv-T) or simulator training (Sim-T). Background Current training for TSP-C, an increasingly used procedure, relies on performance on patients with supervision by an experienced operator. Virtual reality, a new training option, could improve post-training performance. Methods Fellows inexperienced in TSP-C were enrolled and randomly assigned to Conv-T or Sim-T. The post-training performance of each fellow was evaluated and scored in 3 consecutive patient-based procedures by an experienced operator blinded to the fellow's training assignment. Results Fourteen fellows were randomized to Conv-T (n = 7) or to Sim-T (n = 7) and, after training, performed 42 TSP-Cs independently. Training time was significantly longer for Conv-T than for Sim-T (median 30 days vs. 4 days; p = 0.0175). The Conv-T fellows had significantly lower post-training performance scores (median 68 vs. 95; p = 0.0001) and a higher number of recurrent errors (median 3 vs. 0; p = 0.0006) when compared with Sim-T fellows. Conclusions The TSP-C training with virtual reality results in shorter training times and superior post-training performance. (J Am Coll Cardiol 2011;58:359-63) (C) 2011 by the American College of Cardiology Foundation

【 授权许可】

Free