Journal of Aeronautics & Aerospace Engineering
Open Access
ISSN: 2168-9792
ISSN: 2168-9792
Prof. Zhichao Wang
Coronary Intervention Expert, China
Scientific Tracks Abstracts: J Aeronaut Aerospace Eng
Objective: To explore the feasibility, safety and training effect of Audiovisual telesupport system for inexperienced operators to perform PPCI (primary percutaneous coronary intervention). Methods: From April 2018, we cooperated with Shenzhou (county-level city) City hospital to explore the feasibility and safety of Audiovisual telesupport system for inexperienced operators to perform PPCI. Inexperienced operator defined as doctors who had completed the national qualification training for coronary intervention and have not independently performed PPCI. An audiovisual telesupport system-Butel Medical System (Beijing Red CDN Technologies Co. Ltd, Beijing, China) that enabled audiovisual communication between two hospitals was simultaneously introduced at Shenzhou hospital and the supervision hospital. The application of the Butel Medical System can be seen in Figure 1. Self-developed all-round quadruple encryption technology ensure the safety of the transmitted data. The study was comprised of three stages. Stage 1 (April 1 to June 30, 2018) was the expert on-site supervision stage; Stage 2 (July 1 to December 31, 2018) was the Audiovisual telesupport system consultation stage; Stage 3 (January 1 to October 31, 2019) was the independently perform stage. The door to balloon dilation (D to B) time, procedure time, dosage of contrast medium, procedural complications of PPCI during the three stages were compared. Results: The overall average D to B time was 70.3 minutes, the average procedure time was 49.2 minutes, and there were no statistical differences among the three stages. The contrast medium (127.63ml) used in the second stage was less than that in the first stage (159.67ml), and the contrast medium used in the third stage (104.22ml) was less than that in the second and first stage, there were no procedural complication in all three groups. Conclusion: For hospitals without experienced operators, they can safely carry out PPCI by their inexperienced operators with Audiovisual telesupport system support. Audiovisual telesupport system is feasible, safe, and effective way to promote inexperienced operators from on-site guidance stage to remote consultation stage, then to independently perform stage, to safely make them experienced operators of PPCI.
Prof. Zhichao Wang is a coronary intervention expert. His main research fields are primary percutaneous coronary intervention for acute myocardial infarction, identification of acute chest pain, complex and high-risk coronary intervention. On behalf of hospitals and departments, he have conducted consultation for many times and helped more than 10 hospitals carry out primary percutaneous coronary intervention. In terms of academic theory, he mainly focuses on the improvement and innovation of cardiovascular diagnosis and treatment technology, telemedicine, clinical research under the background of big data, etc