Development of simulation combining a physical heart model and three‐dimensional system for electrophysiology training.

Background: A new three‐dimensional heart anatomical simulator (3D HAS) has been created combining a physical heart model with an electroanatomic mapping (EAM) system. The aim of this study is to describe the development and the validation process of this device. Methods: We developed the 3D HAS com...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 41; no. 11; pp. 1461 - 1467
Autores principales: Rossi, Luca, Penela, Diego, Doni, Lorenzo, Marazzi, Raffaella, Napoli, Velia, Napoli, Leonardo, Vilotta, Manola, Villani, Giovanni Quinto, Ponti, Roberto
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Nov2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2018
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        atl: Development of simulation combining a physical heart model and three‐dimensional system for electrophysiology training.
      aug:
        au:
          Rossi, Luca
          Penela, Diego
          Doni, Lorenzo
          Marazzi, Raffaella
          Napoli, Velia
          Napoli, Leonardo
          Vilotta, Manola
          Villani, Giovanni Quinto
          Ponti, Roberto
        affil: Department of Cardiology, Guglielmo da Saliceto Hospital, Piacenza Italy
      sug:
        subj:
          Product Development
          Product Evaluation
          Simulations
          Electrophysiology Education
          Heart
          Human
          Models, Anatomic
          Validation Studies
          Echocardiography, Three-Dimensional
          Heart Atrium, Right
          Coronary Vessels
      ab: Background: A new three‐dimensional heart anatomical simulator (3D HAS) has been created combining a physical heart model with an electroanatomic mapping (EAM) system. The aim of this study is to describe the development and the validation process of this device. Methods: We developed the 3D HAS combining a physical heart model with an EAM system. This simulator was then validated by 10 electrophysiologists, subdivided in two groups based on their experience in electrophysiology procedures. The performance of the experts was compared to the one of the novices in achieving three different tasks: fluoroless reconstruction of the right atrium, coronary sinus cannulation, and deployment of a linear ablation lesion in the cavotricuspid isthmus. For each operator, a score was calculated based on objective parameter for each task and for the overall performance. Results: The 3D HAS was located in an environment that allowed use of the main features of the EAM system including contact force sensing. No technical issue was encountered during the validation process. The experts' performance was significantly better than the one of the novices both overall (P = 0.009) and in each task (right atrium reconstruction, P = 0.016; coronary sinus cannulation, P = 0.008; ablation lesion, P = 0.03). Conclusions: The 3D HAS is reliable and allows use of the main features of an EAM system in the right atrium. The ability to discriminate different levels of experience suggests that this simulator is enough realistic and could be useful for electrophysiology training.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
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      ougenre: Article
    language: English
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