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Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic.
Bechstein, Matthias; Elsheikh, Samer; Wodarg, Fritz; Taschner, Christian A; Hanning, Uta; Buhk, Jan-Hendrik; McDonough, Rosalie; Goebell, Einar; Fiehler, Jens; Bester, Maxim.
  • Bechstein M; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany m.bechstein@uke.de.
  • Elsheikh S; Department of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany.
  • Wodarg F; Department of Radiology and Neuroradiology, Universitätsklinikum Schleswig-Holstein Campus Kiel, Kiel, Germany.
  • Taschner CA; Department of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany.
  • Hanning U; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Buhk JH; Neuroradiology, Asklepios Hospitals St. Georg and Wandsbek, Hamburg, Germany.
  • McDonough R; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Goebell E; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Fiehler J; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Bester M; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
BMJ Case Rep ; 13(10)2020 Oct 04.
Article in English | MEDLINE | ID: covidwho-814252
Semantic information from SemMedBD (by NLM)
1. Embolizatio TREATS C0002940
Subject
Embolizatio
Predicate
TREATS
Object
C0002940
2. Possible COEXISTS_WITH COVID-19
Subject
Possible
Predicate
COEXISTS_WITH
Object
COVID-19
3. Embolization, Therapeutic TREATS Aneurysm
Subject
Embolization, Therapeutic
Predicate
TREATS
Object
Aneurysm
4. Possible COEXISTS_WITH COVID-19
Subject
Possible
Predicate
COEXISTS_WITH
Object
COVID-19
ABSTRACT
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.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Intracranial Aneurysm / Telemedicine / Coronavirus Infections / Endovascular Procedures / Pandemics / Betacoronavirus Type of study: Case report Limits: Humans Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-016722

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Intracranial Aneurysm / Telemedicine / Coronavirus Infections / Endovascular Procedures / Pandemics / Betacoronavirus Type of study: Case report Limits: Humans Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-016722