Virtual reality simulation objectively differentiates level of carotid stent experience in experienced interventionalists Isabelle Van Herzeele, MD,

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Virtual reality simulation objectively differentiates level of carotid stent experience in experienced interventionalists Isabelle Van Herzeele, MD, Rajesh Aggarwal, MRCS, Andrew Choong, MRCS, Robert Brightwell, MRCS, Frank E. Vermassen, MD, PhD, Nicholas J. Cheshire, MD, FRCS Journal of Vascular Surgery Volume 46, Issue 5, Pages 855-863 (November 2007) DOI: 10.1016/j.jvs.2007.06.028 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Questionnaire: Carotid module of vascular interventional surgical trainer (VIST) simulator. Journal of Vascular Surgery 2007 46, 855-863DOI: (10.1016/j.jvs.2007.06.028) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Box plot representing total procedure time necessary to complete the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .002).The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers, and the asterisks the extreme cases. Journal of Vascular Surgery 2007 46, 855-863DOI: (10.1016/j.jvs.2007.06.028) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Box plot representing fluoroscopy time used during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P < .001). The thick horizontal lines represent the medians, the boxes, the interquartile ranges, and the whiskers, the 5th and 95th percentiles. The circles represent the outliers and the asterisks the extreme cases. Journal of Vascular Surgery 2007 46, 855-863DOI: (10.1016/j.jvs.2007.06.028) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 Box plot representing number of angiograms done during the carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .038).The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers. Journal of Vascular Surgery 2007 46, 855-863DOI: (10.1016/j.jvs.2007.06.028) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 5 Box plot representing the total number of errors committed during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .209). The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers. Journal of Vascular Surgery 2007 46, 855-863DOI: (10.1016/j.jvs.2007.06.028) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 6 Box plot representing the diameter of the post dilatation balloon during the virtual carotid artery stent (CAS) procedure across the four groups (Kruskall Wallis, P = .811). The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers. Journal of Vascular Surgery 2007 46, 855-863DOI: (10.1016/j.jvs.2007.06.028) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 7 Box plot representing total procedure time necessary to complete the virtual carotid artery stent (CAS) procedure vs endovascular experience of the participants (Mann-Whitney U, P = .007). The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers, and the asterisks the extreme cases. Journal of Vascular Surgery 2007 46, 855-863DOI: (10.1016/j.jvs.2007.06.028) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 8 Box plot representing fluoroscopy time used during the virtual carotid artery stent (CAS) procedure vs endovascular experience of the participants (Mann-Whitney U, P = .024). The thick horizontal lines represent the medians, the boxes the interquartile ranges, and the whiskers the 5th and 95th percentiles. The circles represent the outliers. Journal of Vascular Surgery 2007 46, 855-863DOI: (10.1016/j.jvs.2007.06.028) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions