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Republished: 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.
J Neurointerv Surg ; 13(2): e1, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-883391
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Intracranial Aneurysm / Telemedicine / Neurosurgical Procedures / Endovascular Procedures / Pandemics / COVID-19 Type of study: Case report / Cohort study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: J Neurointerv Surg Year: 2021 Document Type: Article Affiliation country: Neurintsurg-2020-016722.rep

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Intracranial Aneurysm / Telemedicine / Neurosurgical Procedures / Endovascular Procedures / Pandemics / COVID-19 Type of study: Case report / Cohort study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: J Neurointerv Surg Year: 2021 Document Type: Article Affiliation country: Neurintsurg-2020-016722.rep