{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T13:00:26Z","timestamp":1769605226291,"version":"3.49.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2022,2,15]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Proctoring represents a cornerstone in the acquisition of state\u2010of\u2010the\u2010art cardiovascular interventions. Yet, travel restrictions and containment measures during the COVID\u201019 pandemic limited on\u2010site proctoring for training and expert support in interventional cardiology.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">We established a teleproctoring setup for training in a novel patent foramen ovale closure device system (NobleStitch EL, HeartStitch Inc, Fountain Valley, CA) at our institution using web\u2010based real\u2010time bidirectional audiovisual communication. A total of 6 patients with prior paradoxical embolic stroke and a right\u2010to\u2010left shunt of grade 2 or 3 were treated under remote proctorship after 3 cases were performed successfully under on\u2010site proctorship. No major device\/procedure\u2010related adverse events occurred, and none of the patients had a residual right\u2010to\u2010left shunt of grade 1 or higher after the procedure. Additionally, we sought to provide an overview of current evidence available for teleproctoring in interventional cardiology. Literature review was performed identifying 6 previous reports on teleproctoring for cardiovascular interventions, most of which were related to the current COVID\u201019 pandemic. In all reports, teleproctoring was carried out in similar settings with comparable setups; no major adverse events were reported.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Teleproctoring may represent a feasible and safe tool for location\u2010independent and cost\u2010effective training in a novel patent foramen ovale closure device system. Future prospective trials comparing teleproctoring with traditional on\u2010site proctoring are warranted.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.023757","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T11:30:43Z","timestamp":1644319843000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Teleproctoring for Training in Structural Heart Interventions: Initial Real\u2010World Experience During the COVID\u201019 Pandemic"],"prefix":"10.1161","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9140-2336","authenticated-orcid":false,"given":"Niklas","family":"Beyhoff","sequence":"first","affiliation":[{"name":"Department of Cardiology, Campus Benjamin Franklin Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010 Universit\u00e4t zu Berlin Berlin Germany"},{"name":"German Centre for Cardiovascular Research (DZHK), partner site Berlin Berlin Germany"},{"name":"Berlin Institute of Health at Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miry","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Campus Benjamin Franklin Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010 Universit\u00e4t zu Berlin Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Zanders","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Campus Benjamin Franklin Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010 Universit\u00e4t zu Berlin Berlin Germany"},{"name":"German Centre for Cardiovascular Research (DZHK), partner site Berlin Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4351-420X","authenticated-orcid":false,"given":"David M.","family":"Leistner","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Campus Benjamin Franklin Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010 Universit\u00e4t zu Berlin Berlin Germany"},{"name":"German Centre for Cardiovascular Research (DZHK), partner site Berlin Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6713-7990","authenticated-orcid":false,"given":"Anthony","family":"Nobles","sequence":"additional","affiliation":[{"name":"School of Biomedical Engineering, Wests\u00e4chsische Hochschule Zwickau Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Institute of 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