Abstract 1122‐000080: Remote Learning for Neuroendovascular Procedures During the COVID‐19 Pandemic

Abstract

Introduction: Telemedicine coupled with teleproctoring have been a novel practice in the last months given the restrictive mobilization orders worldwide due to the COVID‐19 pandemic, generating the impossibility to travel and learn new techniques or bring a proctor to perform procedures on‐site. Previous papers have reported the benefits of remote proctoring for endovascular procedures using online platforms, whereas others proposed the use of more simple platforms and applications for telemedicine such as ZoomÒ, WhatsAppÒ or Google GlassÒ. Our study aimed to describe our experience in the implementation of remote learning for endovascular treatment of vascular lesions using a multicamera system streamed by a web‐based platform. Methods: Endovascular treatment of aneurysms, arteriovenous malformations, and chronic subdural hematomas were streamed through a multicamera system installed in the angiosuite and shared via Zoom® platform. Four main cameras projected the angiography monitors, the operator’s hands and the overview of the room. Results: Eleven cases were performed. Aneurysms, arteriovenous malformations and chronic subdural hematomas were treated by endovascular means. Preoperative angiographic setup, intraoperative endovascular technique and postoperative management were discussed during the live streaming. No technical problems were reported. Conclusions: Remote learning with online platforms is nowadays an important tool but not a substitute to hands‐on learning for endovascular procedures. We recommend its implementation during the COVID‐19 pandemic as a temporary substitute especially for trainees who do not have access to advanced endovascular interventions.

Keywords

• Neurointerventional Training
• Neurointerventional Education
• New Innovation