“Simulation has proven experience in the aviation and other industries in improving performance and reducing errors. PROcedure Rehearsal Studio provides a platform to practice and optimize procedures using personalized patient data in advance of performing live cases, assuring an unparalleled opportunity to streamline all aspects of the actual procedure, improve patient safety, and reduce the use of additional costly devices that are often needed when procedures are unable to be rehearsed.”
“Simulation can and should be part of rEVAR programs. It can decrease the amount of procedure complications and contribute to the reduction in costs. In my opinion, Patient Specific Rehearsal is probably the greatest innovation in vascular surgery since EVAR.”
“We have been very interested in improving patient care through learning and essentially rehearsing the procedures before we treat the patients,” said Dr. Katzen. “Using advanced simulation techniques similar to what pilots use, we are able to take patient specific information and rehearse the procedure before we actually perform the real procedure.”
“The information extracted from the patient’s CT scan was also used to create a physical 3D model of the anatomy, which allows us to hold the model in our hands, turn it around and look at some of the challenges we are going to face when we actually operate the patient.”
“This was the first case that we used the PROcedure Rehearsal Studio™ simulator and as a result, we were impressed with the 3D Systems product. Although everything seemed very straight forward, this case was actually pretty tricky, because there was a lot of tortuosity and other issues. These included trying to predict where the implant were going to wind up, where the gate was going to wind up and whether it was going to be favorable. For instance, a lot of surgeons might cross the limbs to make gate catheterization easier. However, to that extent, the PRS was very helpful, particularly in this complex anatomy, where we were able to constrain the device, and re-constrain and position it. I was surprised on the value of the Procedure Rehearsal Studio to be perfectly honest”.
“We are beginning to start to refine the techniques that were developed over the last 15 years. We know there are a lot of great benefits to these procedures, but we also know that these techniques need to be more effective. Specifically, we need to reduce type II endoleak, patient morbidity, amount of radiation and contrast used, and we need to be able to do these procedures on more difficult patients. The PROcedure Rehearsal Studio is one of the potential pipeline developments that may change the way we do things.”
“I find the rehearsing part of the PROcedure Rehearsal Studio incredibly interesting. We have a real problem in hospitals like ours where documentation of credentialing and on-going proficiency are really an issue. It will be great if guidelines were set for a surgeon or an Interventionalist who does 10 endografts a year to come in and practice endografts once a year on a simulator that produced reports with clear metrics. I’m very interested in that for number of different reasons. Hopefully more of the manufacturers will work with the simulator companies because in the end it is all about better outcomes.”
“Procedure Rehearsal Studio provides the unique opportunity to practice procedures with patient-specific anatomy. It is an invaluable tool when there is case-specific uncertainty using traditional 3D reconstruction. Pre-procedure simulation provides the operator reassurance that the plan and device chosen will deliver the expected outcome. It improves the safety, timeliness and efficiency of EVAR not only in training programs but in daily, clinical practice.”
“We purchased the PROcedure Rehearsal Studio in 2006 for our research and educational program. It has lived up to our fullest expectations.
With the programmers’ help, we gained early experience with what became the PROcedure Rehearsal Studio as we began to ‘practice’ our carotid stents on the simulator before performing them in the operating room.”
“In my opinion this is clearly the next step for medical simulation in general, and a ‘no brainer’ right now for our field. We feel such rehearsal improves the conduct of our procedures, may well improve outcomes, and creates an ethical, realistic way of improving resident and fellow training without compromising patient care.
We currently use our simulator for general education within our resident and fellow rotations, recruiting and skills identification, and specific procedure rehearsal as well as within our research program, and have been extremely happy with the entire 3D Systems platform”.
“Our initial experience with the PROcedure Rehearsal Studio capabilities of the ANGIO Mentor Simulator has shown that it is feasible to use this technology in the clinical environment. More importantly our research has shown that this new technology can influence interventionalists in the way they use their endovascular material for a specific carotid stenting procedure.”
“The first real patient cases indicate there is a strong correlation between the virtual and real operation with regards to the angiography images, endovascular access and material used during the intervention. I believe that being able to rehearse a complicated procedure like this means one is able to decrease the risk of surgery for the patient, as technical problems will be minimized and the team as a whole will be better prepared for the intervention”.
“Simulators will have a place in the future to plan a procedure. They are not only for training.
They allow us to look at the anatomy and try devices before we actually start the procedure” Professor Horst Sievert, Director of the Cardiovascular Center and department of Internal Medicine.
“I believe patient-based simulation can significantly improve patient safety by training physicians on the patient’s own anatomy and by practicing with the appropriate devices before the actual procedure, resulting in shorter procedure time, less unnecessary equipment, and ultimately, higher success rates and fewer complications.”
“Further research into the PROcedure Rehearsal will see if this technology can indeed help to improve the technical skills of the interventionalist and tailor these skills to the challenges of a specific patient. Furthermore it will be evaluated if a patient-specific rehearsal leads to improved teamwork and a more streamlined procedure with a more cost-effective use of endovascular material and operative time. The end goal of the application of this technique is of course to enhance patient safety and outcome”.
“During the live broadcast, the Cath Lab team said they believe that as a result of the patient-based training, they used less contorts, less x-ray time and most importantly, were able to improve patient safety”.
“I believe patient-based simulation can significantly improve patient safety, by allowing physicians to use appropriate devices and practice on the patient’s own anatomy before the actual procedure. This will result in shorter procedure time, avoiding unnecessary equipment, and ultimately, higher success rates.”