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Ongoing technological advances, especially in the field of image processing, have refined medical simulations to offer life-like replications of medical and surgical procedures in a variety of specialties. Patient-specific image data are incorporated into these simulations, and transformed into a 3D model. This enables the practitioner and his/her team to perform and practice 'real' cases on a virtual patient prior to performing the real procedure on the actual patient. This new technology has been referred to as 'patient-specific' rehearsal, also 'mission' or 'procedure' rehearsal.
Research has already proven that simulated patient-specific rehearsal of a carotid artery stenting procedure may enhance surgical and team performance.
The PROcedure rehearsal software can now also be used to practice patient-specific endovascular repair of infrarenal aortic aneurysms (EVAR). The ability to rehearse a challenging and complex procedure like EVAR may not only influence device selection based on preoperative planning, but also improve the technical performance of the surgeon/radiologist and the awareness and communication within the entire endovascular team. However, further research is needed to evaluate if this new technology may enhance clinical safety and efficiency, i.e. if patients actually benefit from physicians and team members conducting patient-specific rehearsals of EVAR interventions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PROcedure rehearsal | PROcedure rehearsal performed before real EVAR procedure No intervention | ||
| No PROcedure rehearsal | no PROcedure rehearsal performed before real EVAR procedure No intervention |
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| Measure | Description | Time Frame |
|---|---|---|
| Technical operative metrics |
| during EVAR procedure |
| Errors occurring during EVAR procedure (Imperial College Error Capture record) | during EVAR procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective sense of realism of patient-specific rehearsal reported by team members | Subjective sense of realism of patient-specific rehearsal reported by team members (Measurement: questionnaire) | immediately after EVAR procedure |
| Team satisfaction |
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Inclusion Criteria:
-infrarenal aortic aneurysm suitable for endovascular exclusion
Exclusion Criteria:
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Patients with an infrarenal aortic aneurysm suitable for endovascular exclusion. The suitability for endovascular repair is based upon the physician's decision.
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| Name | Affiliation | Role |
|---|---|---|
| Liesbeth Desender | University Hospital, Ghent | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sint - Maarten Hospital, Campus Rooienberg | Duffel | 2570 | Belgium | |||
| Ghent University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28117241 | Derived | Desender L, Van Herzeele I, Lachat M, Duchateau J, Bicknell C, Teijink J, Heyligers J, Vermassen F; PAVLOV Study Group. A Multicentre Trial of Patient specific Rehearsal Prior to EVAR: Impact on Procedural Planning and Team Performance. Eur J Vasc Endovasc Surg. 2017 Mar;53(3):354-361. doi: 10.1016/j.ejvs.2016.12.018. Epub 2017 Jan 20. |
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Team satisfaction Measurement: questionnaire
| immediately after EVAR procedure |
| Any deviation from initial treatment plan | immediately after EVAR procedure |
| 30 day mortality and morbidity | within the first 30 days after surgery |
| Technical and clinical success rate |
| immediately after EVAR procedure |
| Initial clinical success | o Successful deployment of the endovascular device at the intended location, without:
| within the first 30 days after surgery |
| Ghent |
| 9000 |
| Belgium |
| Zurich University Hospital | Zurich | 8091 | Switzerland |