Impact of Simulation-Based Training on Radiation Exposure of Young Interventional Cardiologists
Section snippets
Methods
Between March 2021 and January 2022, a group of 10 trainees with similar case volumes and experience in coronary angiography (CA) was evaluated in our prospectively designed trial, with radiation exposure measurements as an end point. All participants were cardiology residents from our university hospital who were in their second half of their residency. Our study included 3 real-life phases, including an evaluation before simulation-based training (phase 1), within the following week (phase
Results
A total of 10 trainees were participating in our study (5 women, mean age 26.1 ± 1.8 years). Table 1 lists the demographic, procedural, and ionizing data in the 3 different patient groups during the 3 real-life study phases. Compared with group A, group B had better procedural performance, as evidenced by a higher global procedural score. Fluoroscopic time was significantly lower after ST, and radioprotective measures (collimation, distance between tube and operator, operator body position, and
Discussion
The key findings of our study are as follows: (1) we demonstrated here, for the first time, that simulator-based training significantly improves diagnostic coronarography proficiency as demonstrated by the reduction of the ionizing radiation exposure to operator as well as patient in real life, (2) and the simulator-based training resulted in a benefit in diagnostic coronarography proficiency that is retained over at least a 12 week-period by the trainees, as reflected by the radioprotection
Disclosures
The authors have no conflicts of interest to declare.
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Funding: None.