Impact and prevention of errors in endovascular treatment of
unruptured intracranial aneurysms

J 2020

Impact and prevention of errors in endovascular treatment of unruptured intracranial aneurysms

OSPEL, Johanna Maria, Nima KASHANI, Arnuv MAYANK, Petra CIMFLOVÁ, Manraj HERAN et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30224 Radiology, nuclear medicine and medical imaging

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

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

Abstract

V originále

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.

Citovat

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.

@article{1674866,
   author = {Ospel, Johanna Maria and Kashani, Nima and Mayank, Arnuv and Cimflová, Petra and Heran, Manraj and Pandey, SSachin and Peeling, Lissa and Gopinathan, Anil and Lopes, Demetrius and Kocer, Naci and Goyal, Mayank},
   article_location = {THOUSAND OAKS},
   article_number = {5},
   doi = {http://dx.doi.org/10.1177/1591019920947857},
   keywords = {complications; neurointervention; intracranial aneurysm; simulation training},
   language = {eng},
   issn = {1591-0199},
   journal = {The Interventional Neuroradiology Journal},
   title = {Impact and prevention of errors in endovascular treatment of unruptured intracranial aneurysms},
   url = {https://journals.sagepub.com/doi/10.1177/1591019920947857},
   volume = {26},
   year = {2020}
}

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  -

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. \textit{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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