Abstract 15880: Live Case Demonstration of Interventional Cardiology Procedures - Is it really safe?
Background: Professional meetings use live case demonstrations to present cutting edge technology are considered to be a valuable educational resource. There is an ongoing discussion on whether patients who are treated during live case demonstrations are exposed to a higher risk. We aimed to examine the safety and results of interventional procedures performed during the broadcast of live case demonstrations.
Methods: Between 1998 and 2010, 101 patients were treated during live transmissions from a single center in 15 invasive cardiology conferences. Technical success was defined as the ability to effectively perform the planned procedure without any complication. The primary end point of the study was the composite occurrence of death, myocardial infarction, or stroke.
Results: The interventional procedures included coronary (n=66), carotid (n=15), peripheral (n=2), valvular (n=2), pediatric (n=12) and complex electrophysiological ablation interventions (n=7). Compared to our 2010 cohort patients [n=3315], those who were done live were with similar risk factors, more complex coronary anatomy, had more stable angina and the use of IVUS and FFR was more frequent. In four cases, the planned procedure was not done. The procedure was technically successful in 95%. In five cases, the procedure was unsuccessful due to inability to cross a CTO. There were no deaths during the hospital stay, and the composite primary end point occurred in two patients: stroke following an atrial fibrillation ablation and a rise in serum troponin levels after percutaneous coronary intervention. During 30-days there was one MI due to stent thrombosis. At 1-year there was 1 case of restenosis. There was no statistical difference when comparing to matched controls with similar baseline characteristics and disease extent in which the same team performed the interventions in daily practice during 2010..
Conclusion: In this consecutive series of interventional cardiology procedures that were performed by expert operators during live demonstration courses, the procedural and 30-day clinical outcomes were similar to regular conditions and to contemporary published data. Thus, indicating the safety of broadcasting live case demonstrations for the participant.
- © 2011 by American Heart Association, Inc.