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Audiovisual telesupport system for cardiovascular catheter interventions: A preliminary report on the clinical implications

2019; Wiley; Volume: 95; Issue: 5 Linguagem: Inglês

10.1002/ccd.28421

1522-726X

Toru Adachi, Akira Sato, Kenji Kuroki, Tomoko Terai, Daisuke Hanaoka, Daigo Hiraya, Takeshi Machino, Akihiko Nogami, Masaki Ieda, Kazutaka Aonuma,

Cardiac Arrhythmias and Treatments

Abstract Objectives This study aimed to validate the clinical implications of audiovisual telesupport system use. Background 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. Methods 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). Results 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. Conclusions The audiovisual telesupport system enabled cardiologists with limited human resources to provide safe and high‐quality catheter interventions.