Abstract
Virtual-reality (VR) simulation can serve as a platform to provide transfer of knowledge and skills for catheter-based coronary procedures. Presently, five VR simulators with X-ray simulation and catheter and wire tracking are available. These simulators can be used to train mandatory skills for coronary arteriography and coronary intervention. In conjunction with advanced-life-support mannequins, they can be used for team training and crisis resource management in the catheterization laboratory.
The success of simulation-based catheter training does not dependent only on the individual potential of the VR simulator but also on the underlying training concept as a whole. The selection of the simulator should be driven by the training curriculum and not vice versa. An experienced, enthusiastic, and motivated trainer, who is able and willing to use the simulator as a means of transfer of his knowledge and skills, is critical to the success of simulation-based training.
Continuing development of computer technology employing increasingly higher-resolution graphics, more realistic modeling of catheter and guidewire behavior, and a set-up close to reality will further improve the technical settings of simulation-based catheter training.
Nevertheless, albeit the initial experiences are promising, validation studies are mandatory to determine the ultimate role of this technology in interventional cardiology. Depending on the outcome of these studies, simulation-based catheter training may play a crucial role in the education of future cardiologists and their teams.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Didwania A, Feinglass J et al (2008) Simulation based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case–control study. Chest 133:56–61
Hays RT, Jacobs JW, Prince C et al (1992) Flight simulator training effectiveness: a meta-analysis. Mil Psychol 4:63–74
Müller MP, Hänsel M, Fichtner A et al (2009) Excellence in performance and stress reduction during two different full scale simulator training courses: a pilot study. Resuscitation 80:919–924
Voelker W, Lengenfelder B, Petersen J et al (2009) An innovative hybrid-model to train the management of acute pericardial tamponade in the cath lab (abstract). Simul Healthc 4(Suppl 5):172
Schuetz M, Moenk S, Vollmer S et al (2008) High degree of realism in teaching percutaneous coronary interventions by combining a virtual reality trainer with a full scale patient simulator. Simul Healthc 3:242–246
Boyle E, O’Keeffe DA, Naughton PA et al (2011) The importance of expert feedback during endovascular simulator training. J Vasc Surg 54:240–248
Flin R (2010) CRM (non-technical) skills-applications for and beyond the flight deck. In: Kanki B, Helmreich R, Anca J (eds) Crew resource management, 2nd edn. Academic Press, San Diego
Gallagher AG, Ritter EM, Champion H et al (2005) Virtual reality simulation for the operating room. Proficiency-based training as a paradigm shift in surgical skills training. Ann Surg 241:364–372
Grantcharov TP, Kristiansen VB, Bendix J et al (2004) Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg 91: 146–150
Seymour NE, Gallagher AG, Roman SA et al (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236:458–463
Chaer RA, DeRubertis BG, Lin SC et al (2006) Simulation improves resident performance in catheter-based intervention - results of a randomized, controlled study. Ann Surg 244:343–352
Van Herzeele I, Aggarwal R, Neequaye S et al (2008) Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses. Eur J Vasc Endovasc Surg 35:541–550
Patel AD, Gallagher AG, Nicholson WJ, Cates CU (2006) Learning curves and reliability measures for virtual reality simulation in the performance assessment of carotid angiography. J Am Coll Cardiol 47:1796–1802
De Ponti R, Marazzi R, Ghiringhelli S et al (2011) Superiority of simulator-based training compared with conventional training methodologies in the performance of transseptal catheterization. J Am Coll Cardiol 19:359–363
Cates CU, Patel AD, Nicholson WJ (2007) Use of virtual reality simulation for mission rehearsal for carotid stenting. JAMA 297:265–266
Lipner R, Messenger J, Kangilaski R et al (2010) A technical and cognitive skills evaluation of performance in interventional cardiology procedures using medical simulation in healthcare. Simul Healthc 5:65–74
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Voelker, W. (2013). Computer Simulation as Training Tool for Coronary Interventions. In: Lanzer, P. (eds) Catheter-Based Cardiovascular Interventions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27676-7_13
Download citation
DOI: https://doi.org/10.1007/978-3-642-27676-7_13
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-27675-0
Online ISBN: 978-3-642-27676-7
eBook Packages: MedicineMedicine (R0)