Robotic endovascular peripheral arterial interventions: a proposal of a new learning model
ABSTRACT Objective: This study tests a suitable model for training robot-assisted peripheral vascular interventions and examines the learning curves of endovascular surgeons with different levels of previous experience and main focus of work, analyzing procedure time, fluoroscopy time, use of contr...
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2024-12-01
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082024000100256&lng=en&tlng=en |
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| author | Andressa Cristina Sposato Louzada Pedro Henrique Araujo Souza Marcelo Passos Teivelis Pedro Alves Lemos Neto Felipe Nasser Nelson Wolosker |
| author_facet | Andressa Cristina Sposato Louzada Pedro Henrique Araujo Souza Marcelo Passos Teivelis Pedro Alves Lemos Neto Felipe Nasser Nelson Wolosker |
| author_sort | Andressa Cristina Sposato Louzada |
| collection | DOAJ |
| description | ABSTRACT Objective: This study tests a suitable model for training robot-assisted peripheral vascular interventions and examines the learning curves of endovascular surgeons with different levels of previous experience and main focus of work, analyzing procedure time, fluoroscopy time, use of contrast, and radiation emission. Methods: Sixteen endovascular surgeons with different previous experience and training performed nine manual and 18 robotic angioplasties using the CorPath GRX platform on a 3D-printed life-size immersed infragenicular arterial phantom. Results: All participants considered the model reliable. When analyzing manual angioplasty outcomes, the juniors took significantly longer to perform angioplasties than the seniors (p=0.044). Among the seniors, interventionists were faster only on the first angioplasty (p=0.046). Analysis of the robotic angioplasty results showed that only one junior failed to cannulate one of the target arteries once. The total duration, fluoroscopy time, and radiation emission did not differ between juniors and seniors (p=0.095, p=0.60, and p=0.64, respectively). In addition, the learning curves for the maximum benefit required two attempts for procedure duration, one for fluoroscopy time, and three for radiation emission. There were no significant differences between senior vascular surgeons and interventionists. Among juniors, residents had a significantly lower procedure duration (p=0.042) and radiation emission (p=0.046) only for the first angioplasty. Conclusion: The learning curves for robotic peripheral arterial interventions were short, with a plateau for the procedure and fluoroscopy times and radiation emission after the third attempt. We observed no differences in the learning curves in relation to previous experience or training. |
| format | Article |
| id | doaj-art-3835b26299b740959c19dd56e061542e |
| institution | OA Journals |
| issn | 2317-6385 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj-art-3835b26299b740959c19dd56e061542e2025-08-20T02:36:54ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852024-12-012210.31744/einstein_journal/2024ao1058Robotic endovascular peripheral arterial interventions: a proposal of a new learning modelAndressa Cristina Sposato Louzadahttps://orcid.org/0000-0002-4133-3798Pedro Henrique Araujo Souzahttps://orcid.org/0009-0003-1564-9072Marcelo Passos Teivelishttps://orcid.org/0000-0002-3648-6773Pedro Alves Lemos Netohttps://orcid.org/0000-0002-6782-750XFelipe Nasserhttps://orcid.org/0000-0001-6682-2259Nelson Woloskerhttps://orcid.org/0000-0003-1991-3507ABSTRACT Objective: This study tests a suitable model for training robot-assisted peripheral vascular interventions and examines the learning curves of endovascular surgeons with different levels of previous experience and main focus of work, analyzing procedure time, fluoroscopy time, use of contrast, and radiation emission. Methods: Sixteen endovascular surgeons with different previous experience and training performed nine manual and 18 robotic angioplasties using the CorPath GRX platform on a 3D-printed life-size immersed infragenicular arterial phantom. Results: All participants considered the model reliable. When analyzing manual angioplasty outcomes, the juniors took significantly longer to perform angioplasties than the seniors (p=0.044). Among the seniors, interventionists were faster only on the first angioplasty (p=0.046). Analysis of the robotic angioplasty results showed that only one junior failed to cannulate one of the target arteries once. The total duration, fluoroscopy time, and radiation emission did not differ between juniors and seniors (p=0.095, p=0.60, and p=0.64, respectively). In addition, the learning curves for the maximum benefit required two attempts for procedure duration, one for fluoroscopy time, and three for radiation emission. There were no significant differences between senior vascular surgeons and interventionists. Among juniors, residents had a significantly lower procedure duration (p=0.042) and radiation emission (p=0.046) only for the first angioplasty. Conclusion: The learning curves for robotic peripheral arterial interventions were short, with a plateau for the procedure and fluoroscopy times and radiation emission after the third attempt. We observed no differences in the learning curves in relation to previous experience or training.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082024000100256&lng=en&tlng=enEndovascular proceduresAngioplastyRobotic surgical proceduresModelsCardiovascularTraining |
| spellingShingle | Andressa Cristina Sposato Louzada Pedro Henrique Araujo Souza Marcelo Passos Teivelis Pedro Alves Lemos Neto Felipe Nasser Nelson Wolosker Robotic endovascular peripheral arterial interventions: a proposal of a new learning model Einstein (São Paulo) Endovascular procedures Angioplasty Robotic surgical procedures Models Cardiovascular Training |
| title | Robotic endovascular peripheral arterial interventions: a proposal of a new learning model |
| title_full | Robotic endovascular peripheral arterial interventions: a proposal of a new learning model |
| title_fullStr | Robotic endovascular peripheral arterial interventions: a proposal of a new learning model |
| title_full_unstemmed | Robotic endovascular peripheral arterial interventions: a proposal of a new learning model |
| title_short | Robotic endovascular peripheral arterial interventions: a proposal of a new learning model |
| title_sort | robotic endovascular peripheral arterial interventions a proposal of a new learning model |
| topic | Endovascular procedures Angioplasty Robotic surgical procedures Models Cardiovascular Training |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082024000100256&lng=en&tlng=en |
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