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强化教育以避免颅内未破裂动脉瘤血管内治疗的并发症:神经介入医生的观点。

Enhancing Education to Avoid Complications in Endovascular Treatment of Unruptured Intracranial Aneurysms: A Neurointerventionalist's Perspective.

机构信息

From the Departments of Clinical Neurosciences (M.G., J.H.W., J.M.O.)

Radiology (M.G., J.H.W.).

出版信息

AJNR Am J Neuroradiol. 2021 Jan;42(1):28-31. doi: 10.3174/ajnr.A6830. Epub 2020 Nov 5.

Abstract

It is of utmost importance to avoid errors and subsequent complications when performing neurointerventional procedures, particularly when treating low-risk conditions such as unruptured intracranial aneurysms. We used endovascular treatment of unruptured intracranial aneurysms as an example and took a survey-based approach in which we reached out to 233 neurointerventionalists. They were asked what they think are the most important points staff should teach their trainees to avoid errors and subsequent complications in endovascular treatment of unruptured intracranial aneurysms. One hundred twenty-one respondents (51.9%) provided answers in the form of free text responses, which were thematically clustered in an affinity diagram and summarized in this Practice Perspectives. The article is primarily intended for neurointerventional radiology fellows and junior staff and will hopefully provide them the opportunity to learn from the mistakes of their more experienced colleagues.

摘要

在进行神经介入手术时,避免错误和随后的并发症至关重要,尤其是在治疗低风险情况如未破裂颅内动脉瘤时。我们以未破裂颅内动脉瘤的血管内治疗为例,采用基于调查的方法,联系了 233 名神经介入医师。我们询问他们认为在血管内治疗未破裂颅内动脉瘤时,工作人员应该向学员传授哪些最重要的要点,以避免错误和随后的并发症。121 名受访者(51.9%)以自由文本回复的形式提供了答案,这些答案在亲和图中进行了主题聚类,并在本实践观点中进行了总结。本文主要面向神经介入放射学研究员和初级工作人员,希望为他们提供从更有经验的同事的错误中学习的机会。

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本文引用的文献

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Simulation Training in Neuroangiography: Transfer to Reality.神经血管造影模拟培训:向现实转移。
Cardiovasc Intervent Radiol. 2020 Aug;43(8):1184-1191. doi: 10.1007/s00270-020-02479-5. Epub 2020 May 11.
2
Simulation Training in Neuroangiography-Validation and Effectiveness.神经血管造影模拟培训 - 验证与有效性。
Clin Neuroradiol. 2021 Jun;31(2):465-473. doi: 10.1007/s00062-020-00902-5. Epub 2020 Apr 17.
10
The role of morbidity and mortality meetings in interventional radiology.发病率和死亡率会议在介入放射学中的作用。
Eur J Radiol. 2012 Nov;81(11):3344-7. doi: 10.1016/j.ejrad.2012.01.005. Epub 2012 Jan 31.

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