タムラ　マナブ   TAMURA Manabu   田村　学    所属   医学研究科 医学研究科 (医学部医学科をご参照ください)    職種   准教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Prevention and Management of Percutaneous Coronary Intervention-Related Complications: Assessing the Impact of Simulation-Based Learning and Human Factors Training.
掲載誌名	正式名：Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 略　 称：Catheter Cardiovasc Interv ISSNコード：15221946/1522726X
掲載区分	国外
出版社	WILEY
巻・号・頁	pp.e1-e9
著者・共著者	FUKAMIZU Junichi†, MacCARTHY Tobias, SHIMIZU Ikuo, ARIURA Shigeki, TANETANI Ryouta, ARAHIRA Shouta, TAMURA Manabu, MASAMUNE Ken, MAHADEVAN Kalaivani, CHANDRAMOHAN Nitin, HOVASSE Thomas, MONSEGU Jacques, NOLAN James, KEFER Joelle, MUSIALEK Piotr, OBERHOFF Martin, HAUDE Michael, BENAMER Hakim, MULLER Olivier, CALVERT Patrick A., SUMITSUJI Satoru, O'KANE Peter, TOTH Gabor, CUISSET Thomas, WIJINS William, JOHNSON Thomas W.
発行年月	2025/12/15
概要	Background Complications of percutaneous coronary intervention (PCI) remain infrequent but are associated with a risk of serious injury or death. The techniques and devices required to manage them may be unfamiliar or unavailable to operators. Simulation-based learning (SBL) and human factors training (HFT) may serve as tools to increase operator skills and confidence in complication prevention and management. Methods A survey was given to participants during an SBL program delivered at a major international cardiovascular intervention course in 2023 and 2024. Prior experience with complications, access to equipment, and confidence in managing procedural PCI complications were established. Confidence was then reassessed following SBL training. Results A total of 308 cardiologists, from over 50 countries, completed the survey. Access to emergency equipment varied, with half of the operators lacking access to embolic coils. Despite an overall significant procedural experience, many operators were not confident in managing complications. Only 36.9% had undergone any prior HFT, 28.7% reported a lack of confidence in relying on their team, and 26.2% had neutral or negative expectations of obtaining support from colleagues when encountering complications. Structured SBL/HFT significantly improved operator confidence in complication recognition and management. Conclusion Effective management of PCI complications requires a practical know-how of specific techniques and access to devices that may not be routinely available. We found that structured SBL and HFT increase operator confidence in complication prevention and management. Further research should seek to investigate long-term outcomes of SBL use in the clinical management of procedural complications.
DOI	10.1002/ccd.70418
PMID	41399196