Republished: Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic.
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.
['Bechstein|Matthias|M|http://orcid.org/0000-0002-5652-7499', 'Elsheikh|Samer|S|', 'Wodarg|Fritz|F|http://orcid.org/0000-0003-1413-2699', 'Taschner|Christian A|CA|', 'Hanning|Uta|U|http://orcid.org/0000-0002-7543-8555', 'Buhk|Jan-Hendrik|JH|', 'McDonough|Rosalie|R|', 'Goebell|Einar|E|', 'Fiehler|Jens|J|', 'Bester|Maxim|M|http://orcid.org/0000-0003-4007-5755']
D019917:Blood Vessel Prosthesis Implantation D000086382:COVID-19 D003142:Communication D004621:Embolization, Therapeutic D057510:Endovascular Procedures D005246:Feedback D006801:Humans D002532:Intracranial Aneurysm D019635:Neurosurgical Procedures D058873:Pandemics D017216:Telemedicine D016896:Treatment Outcome D049269:Videoconferencing
aneurysm intervention subarachnoid angiography