TY - JOUR
T1 - Superiority of Simulator-Based Training Compared With Conventional Training Methodologies in the Performance of Transseptal Catheterization
AU - De Ponti, Roberto
AU - Marazzi, Raffaella
AU - Ghiringhelli, Sergio
AU - Salerno-Uriarte, Jorge A.
AU - Calkins, Hugh
AU - Cheng, Alan
N1 - Funding Information:
The study was not sponsored; Biosense Webster supplied the transseptal simulators. Drs. De Ponti and Calkins are consultants for Biosense Webster. Dr. Cheng has received a research grant from Biosense Webster . All other authors have reported that they have no relationships to disclose.
Publisher Copyright:
© 2011 American College of Cardiology Foundation
PY - 2011/7/19
Y1 - 2011/7/19
N2 - Objectives This study aims to compare the performance of electrophysiology fellows in transseptal catheterization (TSP-C) after conventional (Conv-T) or simulator training (Sim-T). Background Current training for TSP-C, an increasingly used procedure, relies on performance on patients with supervision by an experienced operator. Virtual reality, a new training option, could improve post-training performance. Methods Fellows inexperienced in TSP-C were enrolled and randomly assigned to Conv-T or Sim-T. The post-training performance of each fellow was evaluated and scored in 3 consecutive patient-based procedures by an experienced operator blinded to the fellow's training assignment. Results Fourteen fellows were randomized to Conv-T (n = 7) or to Sim-T (n = 7) and, after training, performed 42 TSP-Cs independently. Training time was significantly longer for Conv-T than for Sim-T (median 30 days vs. 4 days; p = 0.0175). The Conv-T fellows had significantly lower post-training performance scores (median 68 vs. 95; p = 0.0001) and a higher number of recurrent errors (median 3 vs. 0; p = 0.0006) when compared with Sim-T fellows. Conclusions The TSP-C training with virtual reality results in shorter training times and superior post-training performance.
AB - Objectives This study aims to compare the performance of electrophysiology fellows in transseptal catheterization (TSP-C) after conventional (Conv-T) or simulator training (Sim-T). Background Current training for TSP-C, an increasingly used procedure, relies on performance on patients with supervision by an experienced operator. Virtual reality, a new training option, could improve post-training performance. Methods Fellows inexperienced in TSP-C were enrolled and randomly assigned to Conv-T or Sim-T. The post-training performance of each fellow was evaluated and scored in 3 consecutive patient-based procedures by an experienced operator blinded to the fellow's training assignment. Results Fourteen fellows were randomized to Conv-T (n = 7) or to Sim-T (n = 7) and, after training, performed 42 TSP-Cs independently. Training time was significantly longer for Conv-T than for Sim-T (median 30 days vs. 4 days; p = 0.0175). The Conv-T fellows had significantly lower post-training performance scores (median 68 vs. 95; p = 0.0001) and a higher number of recurrent errors (median 3 vs. 0; p = 0.0006) when compared with Sim-T fellows. Conclusions The TSP-C training with virtual reality results in shorter training times and superior post-training performance.
KW - atrial fibrillation ablation
KW - catheter ablation
KW - simulator training
KW - transseptal catheterization
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U2 - 10.1016/j.jacc.2011.02.063
DO - 10.1016/j.jacc.2011.02.063
M3 - Article
C2 - 21757112
AN - SCOPUS:80053296658
SN - 0735-1097
VL - 58
SP - 359
EP - 363
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 4
ER -