Republished: Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic.

Republished: Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic.
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转载:使用专用直播技术进行颅内动脉瘤血管内治疗的医院间远程监护:COVID-19大流行期间的首次经验。

DOI:
10.1136/neurintsurg-2020-016722.rep
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发表时间:
2021-03
影响因子:
4.8
通讯作者:
Bester M
Bester M
中科院分区:
医学1区
文献类型:
--
作者:
Bechstein M;Elsheikh S;Wodarg F;Taschner CA;Hanning U;Buhk JH;McDonough R;Goebell E;Fiehler J;Bester M

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这是前三例血管内动脉瘤治疗病例的报告,由远程介入医生使用新型高分辨率低延迟流技术进行监督。监考人员位于神经血管中心,为两个遥远城市(相距 800 公里/500 英里)的治疗介入团队提供支持。所有动脉瘤均使用 Woven EndoBridge (WEB) 栓塞系统进行治疗,无论是选择性治疗还是在蛛网膜下腔出血后治疗。由于 COVID-19 大流行期间的旅行限制,无法进行现场监考。 WEB 放置在所有情况下都是可行的。据报道,通过高分辨率图像传输和通过音频流不间断的反馈/讨论,监考人员和治疗医生之间建立了良好的融洽关系。未出现临床并发症。短期随访显示所有治疗的动脉瘤均得到充分闭塞。所采用的流技术在复杂的动脉瘤病例中提供了有效的远程监控,包括技术并发症的管理。
This is a report of the first three cases of endovascular aneurysm treatment that were proctored by a remote interventionalist using a novel high-resolution low-latency streaming technology. The proctor was located in a neurovascular centre and supported the treating interventional teams in two distant cities (up to 800 km/500 miles apart). All aneurysms were treated using the Woven EndoBridge (WEB) embolisation system, either electively or following subarachnoid haemorrhage. On-site proctoring was not possible due to travel restrictions during the COVID-19 pandemic. WEB placement was feasible in all cases. Good rapport between proctors and treating physicians was reported, enabled by the high-resolution image transmission and uninterrupted feedback/discussion via audiostream. No clinical complications were encountered. Short-term follow-up revealed adequate occlusion of all treated aneurysms. The employed streaming technology provided effective remote proctoring during complex aneurysm cases, including the management of technical complications.
DOI: 10.1007/s00062-019-00870-5
发表时间: 2019-12-20
影响因子: 2.8
作者:
Bechstein, Matthias;Buhk, Jan-Hendrik;Goebell, Einar
通讯作者: Goebell, Einar
DOI: 10.1136/neurintsurg-2019-015671.rep
发表时间: 2020-04-01
影响因子: 4.8
作者:
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通讯作者: Turk, Aquilla
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发表时间: 2019-10-01
影响因子: 2.5
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通讯作者: Sharma, Latisha K.