Long-term Outcomes of a Telementoring Program for Distant Teaching of Endovascular Aneurysm Repair.
J Endovasc Ther
; 24(6): 852-858, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-28891376
ABSTRACT
PURPOSE:
To prospectively evaluate the long-term outcomes after a telementoring program for distant teaching of endovascular aneurysm repair (EVAR) and the degree of EVAR procedure assimilation into routine practice.METHODS:
A telementoring protocol using stepwise introduction of EVAR was implemented between a university care center and a remote vascular health care site; from March 1999 to October 2003, 49 EVAR patients (mean age 72 years; 48 men) were treated during telementoring at the remote center. After the telementoring period, 86 patients (mean age 71 years; 77 men) underwent EVAR procedures carried out at the secondary care center from November 2003 to July 2011. The long-term outcomes were compared between the EVAR procedures performed during telementoring with the procedures performed independently thereafter.RESULTS:
No significant difference was appreciated between telementored and not telementored procedures either in 30-day mortality (4.1% vs 2.3%, p=0.621) or in the initial technical success (93.9% vs 97.7%, p=0.353). The telementored group showed no significant difference in overall aneurysm-related mortality (6.1% vs 2.3%, p=0.353) or in the overall complication rates (p=0.985). The reintervention rate was significantly lower among the unmentored procedures (11.6% vs 32.7%, p=0.004). In particular, significantly fewer patients underwent late endovascular procedures (1.2% vs 12.2%, p=0.009) and late percutaneous interventions (7.0% vs 20.4%, p=0.027) after telementoring ceased.CONCLUSION:
The telementoring program followed here allowed excellent EVAR skill assimilation into the routine practice of a remote health care site. Telementoring is a feasible strategy to support skill introduction in remote medical facilities.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Mentores
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Instrução por Computador
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Telemedicina
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Aneurisma da Aorta Abdominal
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Implante de Prótese Vascular
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Educação a Distância
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Procedimentos Endovasculares
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article