Journal of Vascular Surgery
Volume 46, Issue 5 , Pages 855-863 , November 2007

Virtual reality simulation objectively differentiates level of carotid stent experience in experienced interventionalists

Presented at the Twenty-Fourth Meeting of the Vascular Society of Great Britain and Ireland, Edinburgh, UK, Nov 24, 2006.

  • Isabelle Van Herzeele, MD

      Affiliations

    • Department of Biosurgery and Surgical Technology, Imperial College London, United Kingdom
    • Regional Vascular Unit, St. Mary’s Hospital, London, United Kingdom
    • Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium.
    • Corresponding Author InformationReprint requests: Mrs. Isabelle Van Herzeel, Clinical Research Fellow, Department of Biosurgery and Surgical Technology, Imperial College London, 10th Floor, QEQM building, St. Mary’s Hospital, Praed Street, London, W2 1NY UK.
    • ,
  • Rajesh Aggarwal, MRCS

      Affiliations

    • Department of Biosurgery and Surgical Technology, Imperial College London, United Kingdom
    • ,
  • Andrew Choong, MRCS

      Affiliations

    • Department of Biosurgery and Surgical Technology, Imperial College London, United Kingdom
    • Regional Vascular Unit, St. Mary’s Hospital, London, United Kingdom
    • ,
  • Robert Brightwell, MRCS

      Affiliations

    • Department of Biosurgery and Surgical Technology, Imperial College London, United Kingdom
    • ,
  • Frank E. Vermassen, MD, PhD

      Affiliations

    • Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium.
    • ,
  • Nicholas J. Cheshire, MD, FRCS

      Affiliations

    • Department of Biosurgery and Surgical Technology, Imperial College London, United Kingdom
    • Regional Vascular Unit, St. Mary’s Hospital, London, United Kingdom

Received 27 April 2007 ,Accepted 11 June 2007.

  • Image Result

    Questionnaire: Carotid module of vascular interventional surgical trainer (VIST) simulator.

    Questionnaire: Carotid module of vascular interventional surgical trainer (VIST) simulator.

  • Image Result

    Box plot representing total procedure time necessary to complete the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .002).The thick horizontal lines represen

    Box plot representing total procedure time necessary to complete the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .002).The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers, and the asterisks the extreme cases.

  • Image Result
    Box plot representing fluoroscopy time used during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P < .001). The thick horizontal lines represent the medians

    Box plot representing fluoroscopy time used during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P < .001). The thick horizontal lines represent the medians, the boxes, the interquartile ranges, and the whiskers, the 5th and 95th percentiles. The circles represent the outliers and the asterisks the extreme cases.

  • Image Result
    Box plot representing number of angiograms done during the carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .038).The thick horizontal lines represent the medians, the

    Box plot representing number of angiograms done during the carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .038).The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers.

  • Image Result
    Box plot representing the total number of errors committed during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .209). The thick horizontal lines repres

    Box plot representing the total number of errors committed during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .209). The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers.

  • Image Result
    Box plot representing the diameter of the post dilatation balloon during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .811). The thick horizontal lines

    Box plot representing the diameter of the post dilatation balloon during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .811). The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers.

  • Image Result
    Box plot representing total procedure time necessary to complete the virtual carotid artery stent (CAS) procedure vs endovascular experience of the participants (Mann-Whitney U, P = .007). The thick h

    Box plot representing total procedure time necessary to complete the virtual carotid artery stent (CAS) procedure vs endovascular experience of the participants (Mann-Whitney U, P = .007). The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers, and the asterisks the extreme cases.

  • Image Result
    Box plot representing fluoroscopy time used during the virtual carotid artery stent (CAS) procedure vs endovascular experience of the participants (Mann-Whitney U, P = .024). The thick horizontal line

    Box plot representing fluoroscopy time used during the virtual carotid artery stent (CAS) procedure vs endovascular experience of the participants (Mann-Whitney U, P = .024). The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers.

 Competition of interest: This research project has been supported in part by a grant from Boston Scientific Corporation, Natick, Massachusetts and Mentice, Gothenburg, Sweden.

PII: S0741-5214(07)01026-9

doi: 10.1016/j.jvs.2007.06.028

Journal of Vascular Surgery
Volume 46, Issue 5 , Pages 855-863 , November 2007

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