Remote Training of Neurointerventions by Audiovisual Streaming: Experiences from the European ESMINT-EYMINT E-Fellowship Program

  • Uta Hanning (Geteilte/r Erstautor/in)
  • Matthias Bechstein (Geteilte/r Erstautor/in)
  • Johannes Kaesmacher
  • Grégoire Boulouis
  • René Chapot
  • Tommy Andersson
  • Edoardo Boccardi
  • Marios Psychogios
  • Christophe Cognard
  • Marta de Dios Lascuevas
  • Marta Rodrigues
  • Isabel Rodriguez Caamaño
  • Sergios Gargalas
  • Davide Simonato
  • Vedran Zupancic
  • Cornelia Daller
  • Lukas Meyer
  • Gabriel Broocks
  • Helena Guerreiro
  • Jens Fiehler
  • Mario Martínez-Galdamez
  • Vladimir Kalousek

Abstract

BACKGROUND: Remote access of trainees to training centers via video streaming (tele-observership, e‑fellowship) emerges as an alternative to acquire knowledge in endovascular interventions. Situational awareness is a summary term that is also used in surgical procedures for perceiving and understanding the situation and projecting what will happen next. A high situational awareness would serve as prerequisite for meaningful learning success during tele-observerships. We hypothesized that live perception of the angiographical procedures using streaming technology is feasible and sufficient to gain useful situational awareness of the procedure.

METHODS: During a European tele-observership organized by the European Society of Minimally Invasive Neurological Therapy (ESMINT) and its trainee association (EYMINT), a total of six neurointerventional fellows in five countries observed live cases performed by experienced neurointerventionalists (mentors) in six different high-volume neurovascular centers across Europe equipped with live-streaming technology (Tegus Medical, Hamburg, Germany). Cases were prospectively evaluated during a 12-month period, followed by a final questionnaire after completion of the course.

RESULTS: A total of 102/161 (63%) cases with a 1:1 allocation of fellow and mentor were evaluated during a 12-month period. Most frequent conditions were ischemic stroke (27.5%), followed by embolization of unruptured aneurysms (25.5%) and arteriovenous malformations (AVMs) (15.7%). A high level of situational awareness was reported by fellows in 75.5% of all cases. After finishing the program, the general improvement of neurointerventional knowledge was evaluated to be extensive (1/6 fellows), substantial (3/6), and moderate (2/6). The specific fields of improvement were procedural knowledge (6/6 fellows), technical knowledge (3/6) and complication management (2/6).

CONCLUSION: Online streaming technology facilitates location-independent training of complex neurointerventional procedures through high levels of situational awareness and can therefore supplement live hands-on-training. In addition, it leads to a training effect for fellows with a perceived improvement of their neurointerventional knowledge.

Bibliografische Daten

OriginalspracheEnglisch
ISSN1869-1439
DOIs
StatusVeröffentlicht - 03.2023

Anmerkungen des Dekanats

© 2022. The Author(s).

PubMed 35829740