Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic.
BMJ Case Rep
; 13(10)2020 Oct 04.
Article
in English
| MEDLINE | ID: covidwho-814252
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.
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
/
Cohort study
/
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Humans
Language:
English
Year:
2020
Document Type:
Article
Affiliation country:
Bcr-2020-016722
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