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Teleproctoring in therapeutic neurointervention: Experience from Iraq-Saudi Arabia collaboration.
Ismail, Mustafa; Muthana, Ahmed; Al-Ageely, Teeba A; Ahmed, Fatimah Oday; Al-Taie, Rania H; Al-Khafaji, Aktham O; Al-Zaidy, Mahmood F; Salih, Hayder R; Alrawi, Mohammed A; Aktham, Awfa; Al-Jehani, Hosam; Hoz, Samer S.
Afiliación
  • Ismail M; Department of Neurosurgery, University of Baghdad, Baghdad, Iraq.
  • Muthana A; Department of Neurosurgery, University of Baghdad, Baghdad, Iraq.
  • Al-Ageely TA; Department of Neurosurgery, University of Baghdad, Baghdad, Iraq.
  • Ahmed FO; Department of Neurosurgery, University of Al-Mustansiriyah, Baghdad, Iraq.
  • Al-Taie RH; Department of Neurosurgery, University of Al-Mustansiriyah, Baghdad, Iraq.
  • Al-Khafaji AO; Department of Neurosurgery, University of Baghdad, Baghdad, Iraq.
  • Al-Zaidy MF; Department of Neurosurgery, University of Baghdad, Baghdad, Iraq.
  • Salih HR; Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq.
  • Alrawi MA; Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq.
  • Aktham A; Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq.
  • Al-Jehani H; Department of Neurosurgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
  • Hoz SS; Department of Neurosurgery, University of Pittsburgh, Pittsburgh, United States.
Surg Neurol Int ; 15: 280, 2024.
Article en En | MEDLINE | ID: mdl-39246757
ABSTRACT

Background:

Proctoring in neuroendovascular surgery is one of the potential solutions for the shortage of personnel and experience, particularly in unstable and limited-resource areas such as Iraq.

Methods:

The study was conducted at the Baghdad Neurovascular Center (BNC), the first Hybrid neurovascular institution in Iraq, where sequential online zoom-based meetings between the BNC team and the expert from the Kingdom of Saudi Arabia were used for teleproctoring for neurointerventional procedures.

Results:

A total of 28 sessions were conducted, four sessions for each case. Seven cases with various intracranial vascular lesions were operated for neuroendovascular procedures from July/2021 to March/2022. The teleproctoring for each case included four sequential sessions (1) preoperative planning, (2) device selection and preparation, (3) intraoperative live-stream proctoring, and (4) postoperative reflection and follow-up planning. The procedures include coiling for dural arteriovenous fistula; preoperative tumor embolization; preoperative, partial, and staged embolization for arteriovenous malformation; coiling for intracranial aneurysm; and attempted Giant aneurysm flow-diversion. Major complications were avoided through teleproctoring, and all patients had good outcomes. In addition, the teleproctoring provided an effective training experience to the local neuroendovascular team that is otherwise not feasible.

Conclusion:

Teleproctoring is an effective and feasible tool to improve patient outcomes and provide a training experience to the local neuroendovascular teams in resource-limited regions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Surg Neurol Int Año: 2024 Tipo del documento: Article País de afiliación: Irak Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Surg Neurol Int Año: 2024 Tipo del documento: Article País de afiliación: Irak Pais de publicación: Estados Unidos