{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T21:54:59Z","timestamp":1776376499352,"version":"3.51.2"},"reference-count":5,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2020,10,4]],"date-time":"2020-10-04T00:00:00Z","timestamp":1601769600000},"content-version":"unspecified","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,9,4]]},"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>This is a report of the first three cases of endovascular aneurysm treatment that were proctored by a remote interventionalist using a novel high-resolution low-latency streaming technology. The proctor was located in a neurovascular centre and supported the treating interventional teams in two distant cities (up to 800\u2009km\/500 miles apart). All aneurysms were treated using the Woven EndoBridge (WEB) embolisation system, either electively or following subarachnoid haemorrhage. On-site proctoring was not possible due to travel restrictions during the COVID-19 pandemic. WEB placement was feasible in all cases. Good rapport between proctors and treating physicians was reported, enabled by the high-resolution image transmission and uninterrupted feedback\/discussion via audiostream. No clinical complications were encountered. Short-term follow-up revealed adequate occlusion of all treated aneurysms. The employed streaming technology provided effective remote proctoring during complex aneurysm cases, including the management of technical complications.<\/jats:p>","DOI":"10.1136\/bcr-2020-016722","type":"journal-article","created":{"date-parts":[[2020,10,4]],"date-time":"2020-10-04T17:15:11Z","timestamp":1601831711000},"page":"e016722","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5652-7499","authenticated-orcid":false,"given":"Matthias","family":"Bechstein","sequence":"first","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer","family":"Elsheikh","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1413-2699","authenticated-orcid":false,"given":"Fritz","family":"Wodarg","sequence":"additional","affiliation":[{"name":"Department of Radiology and Neuroradiology, Universit\u00e4tsklinikum Schleswig-Holstein Campus Kiel, Kiel, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian A","family":"Taschner","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7543-8555","authenticated-orcid":false,"given":"Uta","family":"Hanning","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan-Hendrik","family":"Buhk","sequence":"additional","affiliation":[{"name":"Neuroradiology, Asklepios Hospitals St. Georg and Wandsbek, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosalie","family":"McDonough","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Einar","family":"Goebell","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Fiehler","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4007-5755","authenticated-orcid":false,"given":"Maxim","family":"Bester","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,10,4]]},"reference":[{"key":"2025082709302453000_13.10.e016722.1","first-page":"00870","article-title":"Training and supervision of thrombectomy by Remote Live Streaming Support (RESS) : randomized comparison using simulated stroke interventions","author":"Bechstein","year":"2019","journal-title":"Clin Neuroradiol"},{"key":"2025082709302453000_13.10.e016722.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2003539"},{"key":"2025082709302453000_13.10.e016722.3","doi-asserted-by":"crossref","unstructured":"Fiehler J , Brouwer P , D\u00edaz C , et al . COVID-19 and Neurointerventional service worldwide: a survey of the European Society of Minimally Invasive Neurological Therapy (ESMINT), the Society of NeuroInterventional Surgery (SNIS), the Sociedad Iberolatinoamericana de Neuroradiologia Diagnostica Y Terapeutica (SILAN), the Society of Vascular and Interventional Neurology (SVIN), and the world Federation of Interventional and Therapeutic Neuroradiology (WFITN). 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