Remote proctoring in neuroradiological interventions

Abstract

Background: Endovascular procedures are paramount in the treatment of cerebrovascular diseases, e.g. thrombectomy for stroke. The continuous further development of the devices used for these procedures (e.g. catheters and stents) requires permanent learning by the treating physician. Objective: Technical support options for new neuroendovascular procedures. Methods: Integration of streaming technologies into the training concept for neuroradiologists. Results: The transmission of angiographic images to a remote computer workstation in real time is possible independent of location by means of specific streaming technology. This approach enables a neuroendovascular specialist to advise geographically distant interventionalists when performing catheter interventions of the brain, to oversee the handling of the materials used and to instruct them if necessary (remote proctoring). Conclusion: Especially during emergency interventions and during travel restrictions, patient safety can be increased by connecting to another neuroendovascular specialist via live streaming.