Simulator Training to Improve Interventional Cardiologist Skills (STARTERS) Trial

NCT ID: NCT06358105

Last Updated: 2024-04-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-15

Study Completion Date

2025-11-15

Brief Summary

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The goal of this clinical trial is to learn if simulator-based training will improve interventional cardiology fellows' skills and will improve patient outcomes.

The main questions it aims to answer are:

* Does this training improve specific operative parameters recorded during initial coronary interventions performed as first operators under senior supervision?
* Will major and minor procedural complications be reduced after simulator-based training?

Interventional cardiology fellows in their first year of training will be randomized between standard master-apprentice training or simulator-based training before starting their cath lab period.

They will be supervised during their cath lab period as first operators by senior interventional cardiologists.

During their first 50 procedures performed as supervised first operator, specific procedural data will be collected.

Detailed Description

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Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Simulator-based training group

Interventional cardiology fellows will undergo a two-day training program on high-fidelity simulators

Group Type EXPERIMENTAL

Simulator-based training

Intervention Type PROCEDURE

A two-day training program will be performed before starting their cath lab period as interventional cardiology fellows

Standard group

Interventional cardiology fellows will undergo standard training based on master-apprentice model

Group Type ACTIVE_COMPARATOR

Standard training

Intervention Type PROCEDURE

Standard master-apprentice training interventional cardiology fellows' program during their cath lab period

Interventions

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Simulator-based training

A two-day training program will be performed before starting their cath lab period as interventional cardiology fellows

Intervention Type PROCEDURE

Standard training

Standard master-apprentice training interventional cardiology fellows' program during their cath lab period

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Specializing doctors who are about to start dedicated training in the interventional cardiology room
* Patients who must undergo coronary angiography examination.

Exclusion Criteria

Specializing doctors:

* No interest in performing interventional cardiology procedures as first supervised operator (classical training)
* Experience as first supervised operator in interventional cardiology procedures
* Absence of informed consent

Patients:

* Acute Coronary Syndrome
* Severe left ventricular dysfunction with ejection fraction less than 30%
* Severe chronic renal failure (with glomerular filtration rate less than 30 ml/min)
* Absence of informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Policlinico Universitario Agostino Gemelli IRCCS

OTHER

Sponsor Role lead

Responsible Party

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Burzotta Francesco

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Francesco Burzotta, Prof

Role: PRINCIPAL_INVESTIGATOR

Fondazione Policlinico Universitario A. Gemelli, IRCCS

Locations

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Fondazione Policlinico Univrsitario Agostino Gemelli IRCCS

Rome, , Italy

Site Status

Countries

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Italy

Central Contacts

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FRANCESCO Burzotta, Prof..

Role: CONTACT

+393494295290

References

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Aggarwal S, Choudhury E, Ladha S, Kapoor PM, Kiran U. Simulation in cardiac catheterization laboratory: Need of the hour to improve the clinical skills. Ann Card Anaesth. 2016 Jul-Sep;19(3):521-6. doi: 10.4103/0971-9784.185548.

Reference Type BACKGROUND
PMID: 27397459 (View on PubMed)

Pezel T, Coisne A, Bonnet G, Martins RP, Adjedj J, Biere L, Lattuca B, Turpeau S, Popovic B, Ivanes F, Lafitte S, Deharo JC, Bernard A. Simulation-based training in cardiology: State-of-the-art review from the French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology. Arch Cardiovasc Dis. 2021 Jan;114(1):73-84. doi: 10.1016/j.acvd.2020.10.004. Epub 2021 Jan 5.

Reference Type BACKGROUND
PMID: 33419690 (View on PubMed)

Sciahbasi A, Romagnoli E, Trani C, Burzotta F, Pendenza G, Tommasino A, Leone AM, Niccoli G, Porto I, Penco M, Lioy E. Evaluation of the "learning curve" for left and right radial approach during percutaneous coronary procedures. Am J Cardiol. 2011 Jul 15;108(2):185-8. doi: 10.1016/j.amjcard.2011.03.022. Epub 2011 Apr 29.

Reference Type BACKGROUND
PMID: 21530937 (View on PubMed)

Joshi A, Wragg A. Simulator Training in Interventional Cardiology. Interv Cardiol. 2016 May;11(1):70-73. doi: 10.15420/icr.2016.11.1.70.

Reference Type BACKGROUND
PMID: 29588710 (View on PubMed)

Popovic B, Pinelli S, Albuisson E, Metzdorf PA, Mourer B, Tran N, Camenzind E. The Simulation Training in Coronary Angiography and Its Impact on Real Life Conduct in the Catheterization Laboratory. Am J Cardiol. 2019 Apr 15;123(8):1208-1213. doi: 10.1016/j.amjcard.2019.01.032. Epub 2019 Jan 24.

Reference Type BACKGROUND
PMID: 30732853 (View on PubMed)

Voelker W, Petri N, Tonissen C, Stork S, Birkemeyer R, Kaiser E, Oberhoff M. Does Simulation-Based Training Improve Procedural Skills of Beginners in Interventional Cardiology?--A Stratified Randomized Study. J Interv Cardiol. 2016 Feb;29(1):75-82. doi: 10.1111/joic.12257. Epub 2015 Dec 16.

Reference Type BACKGROUND
PMID: 26671629 (View on PubMed)

Other Identifiers

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id. 6457

Identifier Type: -

Identifier Source: org_study_id

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