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OSPEL, Johanna Maria, Nima KASHANI, Arnuv MAYANK, Petra CIMFLOVÁ, Manraj HERAN, SSachin PANDEY, Lissa PEELING, Anil GOPINATHAN, Demetrius LOPES, Naci KOCER and Mayank GOYAL. Impact and prevention of errors in endovascular treatment of unruptured intracranial aneurysms. The Interventional Neuroradiology Journal. THOUSAND OAKS: SAGE PUBLICATIONS, 2020, vol. 26, No 5, p. 575-581. ISSN 1591-0199. Available from: https://dx.doi.org/10.1177/1591019920947857.

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TY  - JOUR
ID  - 1674866
AU  - Ospel, Johanna Maria - Kashani, Nima - Mayank, Arnuv - Cimflová, Petra - Heran, Manraj - Pandey, SSachin - Peeling, Lissa - Gopinathan, Anil - Lopes, Demetrius - Kocer, Naci - Goyal, Mayank
PY  - 2020
TI  - Impact and prevention of errors in endovascular treatment of unruptured intracranial aneurysms
JF  - The Interventional Neuroradiology Journal
VL  - 26
IS  - 5
SP  - 575-581
EP  - 575-581
PB  - SAGE PUBLICATIONS
SN  - 15910199
KW  - complications
KW  - neurointervention
KW  - intracranial aneurysm
KW  - simulation training
UR  - https://journals.sagepub.com/doi/10.1177/1591019920947857
L2  - https://journals.sagepub.com/doi/10.1177/1591019920947857
N2  - Background Preventing errors and complications in neurointervention is crucial, particularly in the treatment of unruptured intracranial aneurysms (UIAs), where the natural history is generally benign, and the margin of treatment benefit small. We aimed to investigate how neurointerventionalists perceive the importance and frequency of errors and the resulting complications in endovascular UIA treatment, and which steps could be taken to prevent them. Methods An international multidisciplinary survey was conducted among neurointerventionalists. Participants provided their demographic characteristics and neurointerventional treatment volume. They were asked about their perceptions on the importance and frequency of different errors in endovascular UIA treatment, and which solutions they thought to be most effective in preventing these errors. Results Two-hundred-thirty-three neurointerventionalists from 38 countries participated in the survey. Participants identified errors in technical execution as the most common source of complications in endovascular UIA treatment (40.4% thought these errors constituted a relatively or very large proportion of all complication sources), closely followed by errors in decision-making/indication (32.2%) and errors related to management of unexpected events (28.4%). Simulation training was thought to be most effective in reducing technical errors, while cognitive errors were believed to be best minimized by abandoning challenging procedures, more honest discussion of complications and better standardization of procedure steps. Conclusion Neurointerventionalists perceived both technical and cognitive errors to be important sources of complications in endovascular UIA treatment. Simulation training, a cultural change, higher acceptance of bail-out strategies and better standardization of procedures were perceived to be most effective in preventing these.
ER  -

Basic information
Original name	Impact and prevention of errors in endovascular treatment of unruptured intracranial aneurysms
Authors	OSPEL, Johanna Maria (756 Switzerland), Nima KASHANI (124 Canada), Arnuv MAYANK (124 Canada), Petra CIMFLOVÁ (203 Czech Republic, belonging to the institution), Manraj HERAN (124 Canada), SSachin PANDEY (124 Canada), Lissa PEELING (124 Canada), Anil GOPINATHAN (702 Singapore), Demetrius LOPES (840 United States of America), Naci KOCER (792 Turkey) and Mayank GOYAL (124 Canada, guarantor).
Edition	The Interventional Neuroradiology Journal, THOUSAND OAKS, SAGE PUBLICATIONS, 2020, 1591-0199.

Other information
Original language	English
Type of outcome	Article in a journal
Field of Study	30224 Radiology, nuclear medicine and medical imaging
Country of publisher	United States of America
Confidentiality degree	is not subject to a state or trade secret
WWW	URL
Impact factor	Impact factor: 1.610
RIV identification code	RIV/00216224:14110/20:00116257
Organization unit	Faculty of Medicine
Doi	http://dx.doi.org/10.1177/1591019920947857
UT WoS	000555965000001
Keywords in English	complications; neurointervention; intracranial aneurysm; simulation training
Tags	14110119, rivok
Tags	International impact, Reviewed
Changed by	Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 11/11/2020 11:23.

Abstract
Background Preventing errors and complications in neurointervention is crucial, particularly in the treatment of unruptured intracranial aneurysms (UIAs), where the natural history is generally benign, and the margin of treatment benefit small. We aimed to investigate how neurointerventionalists perceive the importance and frequency of errors and the resulting complications in endovascular UIA treatment, and which steps could be taken to prevent them. Methods An international multidisciplinary survey was conducted among neurointerventionalists. Participants provided their demographic characteristics and neurointerventional treatment volume. They were asked about their perceptions on the importance and frequency of different errors in endovascular UIA treatment, and which solutions they thought to be most effective in preventing these errors. Results Two-hundred-thirty-three neurointerventionalists from 38 countries participated in the survey. Participants identified errors in technical execution as the most common source of complications in endovascular UIA treatment (40.4% thought these errors constituted a relatively or very large proportion of all complication sources), closely followed by errors in decision-making/indication (32.2%) and errors related to management of unexpected events (28.4%). Simulation training was thought to be most effective in reducing technical errors, while cognitive errors were believed to be best minimized by abandoning challenging procedures, more honest discussion of complications and better standardization of procedure steps. Conclusion Neurointerventionalists perceived both technical and cognitive errors to be important sources of complications in endovascular UIA treatment. Simulation training, a cultural change, higher acceptance of bail-out strategies and better standardization of procedures were perceived to be most effective in preventing these.

Abstract

Background Preventing errors and complications in neurointervention is crucial, particularly in the treatment of unruptured intracranial aneurysms (UIAs), where the natural history is generally benign, and the margin of treatment benefit small. We aimed to investigate how neurointerventionalists perceive the importance and frequency of errors and the resulting complications in endovascular UIA treatment, and which steps could be taken to prevent them. Methods An international multidisciplinary survey was conducted among neurointerventionalists. Participants provided their demographic characteristics and neurointerventional treatment volume. They were asked about their perceptions on the importance and frequency of different errors in endovascular UIA treatment, and which solutions they thought to be most effective in preventing these errors. Results Two-hundred-thirty-three neurointerventionalists from 38 countries participated in the survey. Participants identified errors in technical execution as the most common source of complications in endovascular UIA treatment (40.4% thought these errors constituted a relatively or very large proportion of all complication sources), closely followed by errors in decision-making/indication (32.2%) and errors related to management of unexpected events (28.4%). Simulation training was thought to be most effective in reducing technical errors, while cognitive errors were believed to be best minimized by abandoning challenging procedures, more honest discussion of complications and better standardization of procedure steps. Conclusion Neurointerventionalists perceived both technical and cognitive errors to be important sources of complications in endovascular UIA treatment. Simulation training, a cultural change, higher acceptance of bail-out strategies and better standardization of procedures were perceived to be most effective in preventing these.