Training in neurovascular intervention usefulness of in-vitro model and clinical practice
Training in neurovascular intervention usefulness of in-vitro model and clinical practice
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DOI：
10.1177/15910199040100s118
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发表时间：
2004-03-01
影响因子：
1.7
通讯作者：
Rufenacht, DA
中科院分区：
文献类型：
--
作者：
Sugiu, K;Tokunaga, K;Rufenacht, DA
我们介绍了我们的神经血管干预训练工具和系统。为了让年轻居民了解基本的介入技术和设备，使用了体外脑血管模型。该模型包括几种血管病变，如脑动脉瘤、硬脑膜动静脉瘘或颈动脉狭窄。模型中的血管内操作在透视或直接视觉控制下进行，并通过数字减影血管造影和直接观察显示连续的血流动力学变化。因此，受训人员可以很容易地了解临床情况。在稳定的条件下成功地将铂金线圈等新型医疗器械植入到模型中，在使用血管模型进行初步培训后，住院医生在高级外科医生的控制下开始了临床体验。虽然我们的临床培训的有效性很难描述，但我们相信我们为住院医生提供了足够多的优质临床病例。由于我们的血管内团队最近每年有150-200例介入手术，一名住院医生每年可以经历100多例，日本血管内神经外科学会(JSIN)董事会认证专家的资格要求申请人必须在四年内经历100多例。这样我们的居民就可以有足够的案例材料来通过董事会考试。
We introduce our training tools and system of neurovascular intervention. An in vitro cerebral vascular model was used for the young residents to understand the basic interventional techniques and devices.The model included several vascular lesions such as cerebral aneurysm, dural arterio-venous fistula, or carotid artery stenosis. Endovascular procedures in the model were performed under fluoroscopic or direct visual control, and consecutive haemodynamic changes were visualized by using digital subtraction angiography and direct observation. Thus, traineess could have an easy understanding of clinical conditions. New medical devices, such as platinum coils, were successfully implanted in the model under stable conditions.After the initial training using vascular model, the residents had started clinical experiences under the control of senior surgeons. Although it is difficult to describe usefulness of our clinical training, we believe that we provide enough good quality and quantity of clinical cases to the residents. Because our endovascular team has recently had150-200 interventional procedures every year, one resident can have experienced more than 100 cases per year The qualification of a Board Certified Specialist of the Japanese Society of Intravascular Neurosurgery (JSIN) requires that, the applicant must have experienced more than 100 cases for four years. So our residents can have enough case materials to qualify the board examination.