Evidence map›Paper›PMID 33012707›Full record

ArticleBMJ case reports2020

Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic.

Matthias Bechstein, Samer Elsheikh, Fritz Wodarg, Christian A Taschner, Uta Hanning, Jan-Hendrik Buhk, Rosalie McDonough, Einar Goebell, Jens Fiehler, Maxim Bester

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Modeling optimal patient transport in a stroke network capable of remote telerobotic endovascular therapy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  4. Article
  5. Article
  6. Review
  7. Interactive live-stream surgery contributes to surgical education in the context of contact restrictions.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  8. Augmented reality enhanced tele-proctoring platform to intraoperatively support a neuro-endovascular surgery fellow.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  9. Article
  10. Article
  11. A Review of Robotic Interventional Neuroradiology.AJNR. American journal of neuroradiology · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Matthias BechsteinDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany m.bechstein@uke.de.ORCID http://orcid.org/0000-0002-5652-7499
Samer ElsheikhDepartment of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany.
Fritz WodargDepartment of Radiology and Neuroradiology, Universitätsklinikum Schleswig-Holstein Campus Kiel, Kiel, Germany.ORCID http://orcid.org/0000-0003-1413-2699
Christian A TaschnerDepartment of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany.
Uta HanningDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0002-7543-8555
Jan-Hendrik BuhkNeuroradiology, Asklepios Hospitals St. Georg and Wandsbek, Hamburg, Germany.
Rosalie McDonoughDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Einar GoebellDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jens FiehlerDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Maxim BesterDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0003-4007-5755

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

BetacoronavirusAngiography, Digital SubtractionCoronavirus InfectionsCOVID-19Endovascular ProceduresHumansIntracranial AneurysmPandemicsPneumonia, ViralSARS-CoV-2Telemedicineaneurysmangiographyinterventionsubarachnoid

Identifiers

PMID33012707
PMCPMC7536784

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.