Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Department of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany.
J Neurointerv Surg. 2021 Feb;13(2):e1. doi: 10.1136/neurintsurg-2020-016722.rep. Epub 2020 Oct 20.
This is a report of the first three cases of endovascular aneurysm treatment that were proctored by a remote interventionalist using a novel high-resolution low-latency streaming technology. The proctor was located in a neurovascular centre and supported the treating interventional teams in two distant cities (up to 800 km/500 miles apart). All aneurysms were treated using the Woven EndoBridge (WEB) embolisation system, either electively or following subarachnoid haemorrhage. On-site proctoring was not possible due to travel restrictions during the COVID-19 pandemic. WEB placement was feasible in all cases. Good rapport between proctors and treating physicians was reported, enabled by the high-resolution image transmission and uninterrupted feedback/discussion via audiostream. No clinical complications were encountered. Short-term follow-up revealed adequate occlusion of all treated aneurysms. The employed streaming technology provided effective remote proctoring during complex aneurysm cases, including the management of technical complications.
这是首例通过使用新型高分辨率、低延迟流媒体技术由远程介入专家进行监督的血管内动脉瘤治疗报告。监督专家位于神经血管中心，为两个远程城市（相隔 800 公里/500 英里）的治疗介入团队提供支持。所有动脉瘤均使用编织式 EndoBridge（WEB）栓塞系统进行治疗，或是择期治疗，或是治疗蛛网膜下腔出血后。由于 COVID-19 大流行期间的旅行限制，无法进行现场监督。所有病例的 WEB 放置均可行。高分辨率图像传输和通过 audiostream 进行不间断的反馈/讨论使监督专家和治疗医生之间建立了良好的关系。未发生任何临床并发症。短期随访显示所有治疗的动脉瘤均有充分的闭塞。所使用的流媒体技术在复杂动脉瘤病例中提供了有效的远程监督，包括处理技术并发症。
