EP38* Single center experience utilizing a novel augmented reality platform to teleproctor a neuroendovascular fellow

IntroductionRemote tele-proctoring solutions are gaining traction in neuro-endovascular surgery, however evidence supporting its use in fellowship training is limited. We demonstrate a novel augmented reality tele-proctoring platform to enable a remote attending to guide a fellow through neuro-interventions.MethodsA consecutive series of neuro-endovascular cases were performed by a first-year neuro-endovascular fellow with remote guidance from an attending surgeon. The fellow and attending were connected using the Proximie platform, a cloud-based solution that enables users to capture and stream up to four live video feeds from a clinical environment to a remote user. In this setting, two video streams were obtained directly from the AP and lateral cameras on the biplane. Videos were streamed live to the remote attending surgeon providing them situational awareness. The attending could provide immediate vocal feedback to the fellow over an intercom. The attending could also deploy Proximie’s augmented reality tools which were visible to the fellow in real-time on a laptop in the angiography suite.ResultsA total of ten cases were performed on eight patients during the study period. 30% of participants were female and the median patient age was 63±18.6 yrs. Six interventions and four diagnostics were performed in the series. All cases were a technical success. No complications or deaths occurred.ConclusionsThis study demonstrates successful use of an augmented reality tele-proctoring platform in a fellowship training paradigm.ReferencesBechstein M, Elsheik S, Wodarg F, et al. Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic. BMJ Case Rep 2020 Oct 4;13(10):e016722.Bechstein M, Buhk JH, Frolich AM, et al. Training and supervision of thrombectomy by remote live streaming support (RESS): randomized comparison using simulated stroke interventions. Clin Neuroradiol 2019 Dec 20.Goel SS, Greenbaum AB, Patel A, et al. Role of teleproctoring in challenging and innovative structural interventions amid the COVID-19 pandemic and beyond. JACC Cardiovasc Interv 2020 Aug 24;13(16):1945–1948.DisclosureAmeer E Hassan is a consultant for Proximie. Sohum K Desai, Wondwossen G Tekle, and Alexandros L Georgiadis do not have any disclosures.