ABSTRACT
Video 1Endoscopic submuscular dissection as a rescue for severe fibrosis after incomplete polypectomy.
ABSTRACT
The introduction of vascular closure devices (VCD) such as the StarClose device, has been an innovative step in interventional procedures. Earlier post-procedure ambulation, reduced hematoma formation, the time to hemostasis and the need for blood transfusion have been achievable.1 Few case reports describe complications following deployment of the StarClose device, resulting in acute ischemia. Here we present a unique case of unsuccessful deployment of the StarClose device in a patient following an elective right superficial femoral artery angioplasty, resulting in delayed deterioration of the patient's symptoms, necessitating surgery months after the initial intervention.
Subject(s)
Angioplasty, Balloon , Femoral Artery , Hemostatic Techniques/adverse effects , Hemostatic Techniques/instrumentation , Intermittent Claudication/therapy , Ischemia/etiology , Peripheral Arterial Disease/therapy , Vascular Closure Devices , Angioplasty, Balloon/adverse effects , Endarterectomy , Femoral Artery/diagnostic imaging , Femoral Artery/surgery , Humans , Intermittent Claudication/diagnostic imaging , Ischemia/diagnostic imaging , Ischemia/surgery , Male , Middle Aged , Peripheral Arterial Disease/diagnostic imaging , Punctures , Time Factors , Treatment OutcomeABSTRACT
OBJECTIVES: To develop a paediatric radiology themed escape room session for undergraduate education and secondly, to determine participant satisfaction and improvement in knowledge. METHODS: A paediatric radiology escape room with accompanying tutorial was developed around key learning objectives set within the RCR and ESR undergraduate curriculum. Students were recruited from two different universities and undertook the escape room themed teaching. An 8-question single best answer (SBA) test was completed before, immediately after and at 2 weeks post-teaching to determine participant improvement and retention of knowledge. The general feedback was also collected. RESULTS: The escape room sessions were held three times, for 19 students (6-7 students per session). All groups completed the escape room in ≤ 20 min. Students enjoyed the experience, assigning an average satisfaction score of 9.4/10 (range 7-10). The majority (17/19, 89.5%) preferred this method of teaching to a lecture-based tutorial alone, although all said they found the tutorial component useful. For the SBA test, there was an average increase in 3.6 marks (range 1-6 marks) per participant between before and after the escape room. This improved knowledge was mostly sustained after 2 weeks, with an average increase of 3.4 marks difference (range 1 to 6) per participant compared to before the teaching. CONCLUSIONS: A paediatric radiology themed escape room is a feasible teaching method, enjoyed by participants and associated with an increase in radiological knowledge. Further work with larger sample size and direct comparison with other traditional teaching methods is required.
