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Evidence for Endovascular Simulation Training: A Systematic Review.

K W M See1, K H Chui1, W H Chan1

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, South Wing, 14th Floor K Block, Queen Mary Hospital, Hong Kong.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|December 20, 2015
PubMed
Summary

Endovascular simulation training improves surgeon performance metrics in simulated environments. While beneficial for real procedures, definitive evidence linking simulation to improved patient outcomes is still lacking, necessitating further research.

Keywords:
Endovascular proceduresRating scaleSimulationSimulatorTrainingVirtual reality

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Area of Science:

  • Medical Simulation
  • Surgical Training
  • Endovascular Surgery

Background:

  • Simulation training offers non-patient based practice for endovascular surgery trainees.
  • Existing studies categorize endovascular simulation research into trials within simulation, patient-specific rehearsals, and randomized controlled trials (RCTs).

Purpose of the Study:

  • To evaluate the effectiveness of endovascular simulation training in enhancing surgeon techniques and patient outcomes in clinical practice.

Main Methods:

  • A systematic literature review was conducted following PRISMA guidelines.
  • Searches were performed on PubMed and Embase, with exclusion of irrelevant articles and screening of reference lists.

Main Results:

  • Analysis of 31 studies revealed significant improvements in procedure time, fluoroscopy time, and contrast volume in 'trials within simulation'.
  • Patient-specific rehearsals and RCTs demonstrated positive impacts on performance metrics and rating scales in real procedures.
  • No Level I evidence confirmed simulation's definitive improvement of patient outcomes.

Conclusions:

  • Endovascular simulation training enhances performance metrics within simulated settings.
  • Evidence suggests successful translation to clinical practice, particularly in patient-specific rehearsals and RCTs.
  • Further high-level evidence is required to confirm simulation's efficacy and superiority over traditional operating theatre training for patient outcomes.