APHRS Cardiac Device Therapy Curriculum

Heart Failure and Basics of CRTModule 3J Virtual Reality WorkshopMarch 31- April 1, 2018Evaluation Summary Advanced Technology Center Asia PacificTokyo, Japan

Executive Summary

• 1.5 days comprehensive training on CRT n Tokyo ATC• 15 participants from Asia participated and all of them with implanting CRT experience• Day one included lectures on the CRT concept, implantation and programing skills with

programmer hands-on practice• Day two were all hands-on activities including pig heart dissection and virtual reality

simulation practice of CRT implantation• The first time provided pig heart dissection training in the CRM curriculum, Prof. Igawa

taught the anatomy of the heart which related to device implantation receiving extremely good feedback

• In general, participants would like to spend more time on pig heart dissection. An area for improvement is to see how the dissection practice can be more correlated to the clinical practice of manipulating guiding catheter and fluoroscopic interpretation.

• The programming simulation workshop provided the opportunity for delegates to trouble-shoot CRT device, such as low Bi-V pacing percentage. The stimulating cases can be updated and adding more scenario

• 73% delegates are quite comfortable (or above) with CRT implantation procedure versus 20% prior to the training

• 100% delegates agree they have learnt new skills & techniques about the CRT programming from the programmer hands-on session

Faculty Participant

Dr. Wee-Siong TeoSingaporeModule Director

CRT Module 3J: Mar 31 – Apr 1, 2018

Dr. Katherine FanHong KongModule Director

Prof. Chu-Pak LauHong KongCourse Director

No. Name of Delegate Country

1 Dr. Shih-Ching Lin Taiwan

2 Dr. Chun-Kit Kwok, Kevin Hong Kong

3 Dr. Yue-Hong Cheng Hong Kong

4 Dr. Jemelee Co Hernandez Philippines

5 Prof. Vo Thanh Nhan Vietnam

6 Dr. Bo He China

7 Dr. Qiang Wu China

8 Dr. Dong Huang China

9 Dr. Kasumi Ishibuchi Japan

10 Dr. Motomi Tachibana Japan

11 Dr. Koji Tanaka Japan

12 Dr. Kyeong-Min Byeon Korea

13 Dr. Young-Jun Park Korea

14 Dr. Myo Han Myanmar

15 Dr. Shih-Ching Lin Taiwan

Topics:1 Guideline for CRT Implantation: Standard, Non-LBBB

and Mild Heart Failure

2 Pre-procedural Preparation, Implantation Techniques –the Simple or Difficult and How to Avoid Complications

3 Device Selection: CRT-P or CRT-D, Unipolar or Bipolar, Bipolar or Quadripolar Lead?

4 ECG Understanding in CRT

5 Causes of Non-responders and Method of Optimization

6 Role of ECG on CRT Follow-up and Optimization

7 Hands-on: Routine Follow-up and Optimization of CRT

8 Hands-on: Programming Simulator Workshop

9 Causes of Non-responders and Method of Optimization

10 Post-Implant CRT Troubleshooting and Diagnostics

11 Pig Heart Dissection related to CRT Implantation

12 Slitting Guiding Catheter Hands-on

13 Virtual Reality Simulator Workshop

CRT Module 3J: Mar 31 – Apr 1, 2018

Lectures and Programming Workshop

CRT Module 3J: Mar 31 – Apr 1, 2018

Pig Heart Dissection Workshop

CRT Module 3J: Mar 31 – Apr 1, 2018

Virtual Reality Simulator and Slitting Workshop

CRT Module 3J: Mar 31 – Apr 1, 2018

20% 20%

20%

33% 27%

33% 47%

0% 20% 40% 60% 80% 100%

After

Before

Very ComfortableGood and ComfortableQuite ComfortableSomewhat ComfortableNot at all Comfortable

How comfortable are you performing CRT implantation procedures?

73% delegates are quite comfortable (or above) with CRT implantation versus 20% prior to the training

N=15

Delegates’ Feedback

CRT Module 3J: Mar 31 – Apr 1, 2018

How useful the “Virtual Reality Simulation” likely to be for the future jobs?

0

2

4

6

8

10

12N=15

Delegates’ Feedback

I learnt new skills & techniques about the CRT programming from the programmer hands-on session

0

2

4

6

8

10

12

14 N=15

CRT Module 3J: Mar 31 – Apr 1, 2018

How could this workshop model be improved?

• Virtual reality simulation is a very useful workshop, can be arranged more time for practice• More trouble shooting cases• Management of complications.• Need more time for pig heart dissection.• Dissection of pig heart was great. I hope we could have spent more time in this session & has

more time to ask questions.• Already good enough.• Anatomy session was very informative. But the session time was too short. You should

make anatomy session time longer if you could. • Allow each delegate to handle easy to difficult cases.• Very well organized course. Excellent and experienced instructors. Very good location and

venue. More time for device trouble shooting and case examples could be better.• I’d like to handle more time on virtual reality simulator workshop.• I want to have more learning time on anatomy.• The faculty might want to include lectures on the choice of lead and catheters.• The experience was extremely helpful especially for the beginner. The lectures were relevant

and the speakers were very knowledgeable.

Delegates’ Feedback

CRT Module 3J: Mar 31 – Apr 1, 2018

CRT Module 3J: Mar 31 – Apr 1, 2018