Department of Cardiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Department of Internal Medicine, Kamisu Saiseikai Hospital, Kamisu, Japan.
Catheter Cardiovasc Interv. 2020 Apr 1;95(5):906-910. doi: 10.1002/ccd.28421. Epub 2019 Jul 31.
This study aimed to validate the clinical implications of audiovisual telesupport system use.
An audiovisual telesupport system with supervisors has been effective in guiding procedures when surgeons have limited experience with the technique. However, cardiovascular catheter interventions using an audiovisual telesupport system has not been previously reported.
Starting in September 2017, two cardiologists in Kamisu Saiseikai Hospital (Kamisu, Japan, with limited cardiologists) began performing cardiovascular catheter interventions using an audiovisual telesupport system. This system enabled them to perform catheter interventions with the support of advisors in the University of Tsukuba (Tsukuba, Japan). We retrospectively assessed procedure time and complications of percutaneous coronary intervention (PCI) and catheter ablation (CA).
In the first 10 months, 21 patients with coronary artery disease underwent PCI using this system. The mean procedure duration of PCI was 42 ± 10 min. Nine patients with tachyarrhythmia including supraventricular tachycardia (SVT), ventricular premature contraction (VPC), common atrial flutter, and paroxysmal atrial fibrillation (AF) underwent CA using this system. The mean CA procedure time was 134 ± 31 min for SVT, 100 ± 14 min for VPC, and 200 min for AF. All PCI and CA procedures were successfully performed without any complications.
The audiovisual telesupport system enabled cardiologists with limited human resources to provide safe and high-quality catheter interventions.
本研究旨在验证视听远程支持系统使用的临床意义。
带有主管的视听远程支持系统在指导经验有限的外科医生进行手术方面非常有效。然而，使用视听远程支持系统进行心血管导管介入治疗尚未见报道。
自 2017 年 9 月起，日本磐城偕行会医院（磐城，日本，心脏病专家有限）的两名心脏病专家开始使用视听远程支持系统进行心血管导管介入治疗。该系统使他们能够在筑波大学（筑波，日本）顾问的支持下进行导管介入治疗。我们回顾性评估了经皮冠状动脉介入治疗（PCI）和导管消融（CA）的手术时间和并发症。
在最初的 10 个月中，有 21 例冠心病患者使用该系统接受了 PCI。PCI 的平均手术时间为 42±10 分钟。9 例心动过速患者（包括室上性心动过速[SVT]、室性早搏[VPC]、常见心房扑动和阵发性心房颤动[AF]）使用该系统接受了 CA。SVT 的平均 CA 手术时间为 134±31 分钟，VPC 为 100±14 分钟，AF 为 200 分钟。所有的 PCI 和 CA 手术均成功完成，无任何并发症。
视听远程支持系统使人力资源有限的心脏病专家能够提供安全、高质量的导管介入治疗。
