Rudarakanchana Nung, Van Herzeele Isabelle, Desender Liesbeth, Cheshire Nicholas J W
Department of Surgery, Imperial College London, London, UK.
Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium.
Vasc Health Risk Manag. 2015 Mar 10;11:195-202. doi: 10.2147/VHRM.S46194. eCollection 2015.
Endovascular technologies are rapidly evolving, often requiring coordination and cooperation between clinicians and technicians from diverse specialties. These multidisciplinary interactions lead to challenges that are reflected in the high rate of errors occurring during endovascular procedures. Endovascular virtual reality (VR) simulation has evolved from simple benchtop devices to full physic simulators with advanced haptics and dynamic imaging and physiological controls. The latest developments in this field include the use of fully immersive simulated hybrid angiosuites to train whole endovascular teams in crisis resource management and novel technologies that enable practitioners to build VR simulations based on patient-specific anatomy. As our understanding of the skills, both technical and nontechnical, required for optimal endovascular performance improves, the requisite tools for objective assessment of these skills are being developed and will further enable the use of VR simulation in the training and assessment of endovascular interventionalists and their entire teams. Simulation training that allows deliberate practice without danger to patients may be key to bridging the gap between new endovascular technology and improved patient outcomes.
血管内技术正在迅速发展，这通常需要来自不同专业的临床医生和技术人员之间进行协调与合作。这些多学科互动带来了挑战，这在血管内手术期间出现的高错误率中得到了体现。血管内虚拟现实（VR）模拟已从简单的台式设备发展到具有先进触觉、动态成像和生理控制的全物理模拟器。该领域的最新进展包括使用完全沉浸式模拟混合血管造影套件来培训整个血管内团队进行危机资源管理，以及使从业者能够基于患者特定解剖结构构建VR模拟的新技术。随着我们对最佳血管内手术所需的技术和非技术技能的理解不断提高，用于客观评估这些技能的必要工具正在开发中，并将进一步推动VR模拟在血管内介入医生及其整个团队的培训和评估中的应用。允许在不对患者造成危险的情况下进行刻意练习的模拟培训可能是弥合新血管内技术与改善患者预后之间差距的关键。
