Safety of Live Case Demonstrations in Patients Undergoing Percutaneous Coronary Intervention for Chronic Total Occlusion

Shimura, Tetsuro; Yamamoto, Masanori; Tsuchikane, Etsuo; Teramoto, Tamio; Kimura, Masashi; Satou, Hirotomo; Matsuo, Hitoshi; Kawase, Yoshiaki; Suzuki, Yoriyasu; Kano, Seiji; Habara, Maoto; Nasu, Kenya; Kinoshita, Yoshihisa; Terashima, Mitsuyasu; Matsubara, Takehiro; Suzuki, Takahiko

doi:10.1016/j.amjcard.2016.07.007

Cited by 9 publications

(7 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the demonstration of surgical procedures in real patients at live surgery events is subject to critical discussion from an ethical point of view [21,33]. Several studies have shown a potentially negative impact on the outcome of patients who have undergone live surgery, which is opposed to the no-harm principle of medicine [24][25][26]34]. These critical issues may be overcome by the use of body donors at live surgery events for the illustration of surgical techniques as well as the demonstration of related anatomical features.…”

Section: Discussionmentioning

confidence: 99%

“…However, live surgery events are controversial because of medical and ethical concerns [19,24]. In fact, live surgery is known to be associated with prolonged operating and anesthesia times, lower rates of therapeutic success, and delayed time to intervention [25,26]. These disadvantages may not be acceptable under the supreme medical ethics of doing no harm [19].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Didactic Benefits of Surgery on Body Donors during Live Surgery Events in Minimally Invasive Surgery

Ackermann

Wedel

Holthaus

et al. 2020

JCM

View full text Add to dashboard Cite

Background: Live surgery events serve as a valuable tool for surgical education, but also raise ethical concerns about patient safety and professional performance. In the present study, we evaluate the technical feasibility and didactic benefits of live surgery on body donors compared to real patients. Methods: A live surgery session performed on a body donor’s cadaver embalmed in ethanol–glycerol–lysoformin was integrated into the live surgery program presented at a major gynecological convention of minimally invasive surgery. Surgical procedures carried out in real patients were paralleled in the body donor, including the dissection and illustration of surgically relevant anatomical landmarks. A standardized questionnaire was filled by the participants (n = 208) to evaluate the appropriateness, effectiveness, and benefits of this novel concept. Results: The live surgery event was appreciated as a useful educational tool. With regard to the use of body donors, authenticity was rated high (85.5%), and the overall value of body donors for surgical education and training was rated very high (95.0%). The didactic benefit of simultaneous operations performed on body donors and real patients was considered particularly useful (95.5%), whereas complete replacement of real patients by body donors was not favored (14.5%). Conclusions: The study demonstrated both the technical feasibility and didactic benefits of performing minimally invasive surgery in body donors as part of live surgery events. This novel concept has the potential to enhance anatomical knowledge, providing insights into complex surgical procedures, and may serve to overcome yet unresolved ethical concerns related to live surgery events.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Didactic Benefits of Surgery on Body Donors during Live Surgery Events in Minimally Invasive Surgery

Ackermann

Wedel

Holthaus

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…They also confront operators and spectators with unexpected events and thus, remain remembered more than taped cases or talks. 28 29 More recent studies, published after the edition of dedicated guidelines in 2010, 4,5 showed similar outcomes compared to routinely performed cardiovascular procedures, 30 including PCI for chronic total occlusion 31 and transcatheter aortic valve implantation. 32 Live case demonstrations represent a general trend also in other specialties.…”

Section: Comparison Of Periprocedural Endpoints With the Propensitymentioning

confidence: 97%

Percutaneous patent foramen ovale closure during live case demonstrations

Praz

Siontis

Xhigoli

et al. 2018

Cathet Cardio Intervent

View full text Add to dashboard Cite

Background Live case demonstrations serve as an educational tool for interventional techniques in cardiology. The aim of this study was to assess the safety and technical success of percutaneous patent foramen ovale (PFO) closure during live case demonstrations. Methods All patients who had undergone percutaneous PFO closure with Amplatzer devices during live case demonstrations at our institution were consecutively included in this retrospective analysis. Procedure related events were compared with summary event rates derived from the eight randomized controlled trials (RCTs) investigating PFO closure, as well as with a propensity matched cohort of patients treated under usual conditions. Results From April 2004 to June 2015, 142 patients underwent percutaneous PFO closure during live demonstrations, mainly for secondary prevention of cryptogenic cerebrovascular events. The interventions were fluoroscopy guided and successful in all but three cases (2%). Minor adverse events occurred in nine patients (6%). Contrast TEE performed at about 6 months showed complete closure in 84%. No significant differences with regard to technical success and major complications rate were found compared to RCTs, except for an increased rate of minor bleeding observed during live case demonstrations (P for difference < 0.001), mainly attributable to concomitant arterial access for incidental coronary angiography performed in 70% of patients. Except for slightly longer procedure duration, no difference was found compared to a matched population treated under usual conditions. Conclusion Percutaneous PFO closure can be performed during live case demonstrations with the same high technical success as during routine cases.

show abstract

“…Bridging the gap will likely require development of novel equipment and techniques as well as development of comprehensive, high‐volume,42 CTO PCI programs43 and continued education through live case demonstrations,44 CTO PCI workshops, and proctorships 45. CTO PCI is one of the key components of the growing complex, high‐risk, PCI programs 46, 47…”

Section: Bridging the Gapmentioning

confidence: 99%

“…In summary, the CTO PCI success rates in all-comer registries (54%-80%) are significantly lower than those achieved at experienced centers (85%-90%). Bridging the gap will likely require development of novel equipment and techniques as well as development of comprehensive, high-volume, 42 CTO PCI programs 43 and continued education through live case demonstrations, 44 CTO PCI workshops, and proctorships. 45 CTO PCI is one of the key components of the growing complex, high-risk, PCI programs.…”

Section: Bridging the Gapmentioning

confidence: 99%

Chronic Total Occlusion Percutaneous Coronary Intervention: Evidence and Controversies

Tajti

Brilakis

2018

JAHA

View full text Add to dashboard Cite

Safety of Live Case Demonstrations in Patients Undergoing Percutaneous Coronary Intervention for Chronic Total Occlusion

Cited by 9 publications

References 19 publications

Didactic Benefits of Surgery on Body Donors during Live Surgery Events in Minimally Invasive Surgery

Didactic Benefits of Surgery on Body Donors during Live Surgery Events in Minimally Invasive Surgery

Percutaneous patent foramen ovale closure during live case demonstrations

Chronic Total Occlusion Percutaneous Coronary Intervention: Evidence and Controversies

Contact Info

Product

Resources

About