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

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F20%3A00073478" target="_blank" >RIV/00159816:_____/20:00073478 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/20:00116257

Result on the web

<a href="https://journals.sagepub.com/doi/10.1177/1591019920947857" target="_blank" >https://journals.sagepub.com/doi/10.1177/1591019920947857</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1177/1591019920947857" target="_blank" >10.1177/1591019920947857</a>

Result language

angličtina

Original language name

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

Original language description

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.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30210 - Clinical neurology

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Interventional Neuroradiology

ISSN

1591-0199

e-ISSN

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Volume of the periodical

26

Issue of the periodical within the volume

5

Country of publishing house

IT - ITALY

Number of pages

7

Pages from-to

575-581

UT code for WoS article

000555965000001

EID of the result in the Scopus database

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