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January 17, 2007

Use of Virtual Reality Simulation for Mission Rehearsal for Carotid Stenting

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;297(3):261-266. doi:10.1001/jama.297.3.265-b

To the Editor: Carotid stenting has been shown to be noninferior to carotid endarterectomy for treatment of severe carotid stenosis.1 Virtual reality simulation training to proficiency has been recommended in the certification process for carotid stenting.2,3 Virtual reality simulation also allows mission rehearsal,4 practicing a procedure using an individual patient's anatomy in a virtual environment prior to the actual procedure. Although this concept is used by the military and in aviation, we are not aware of prior implementation in medical practice. We describe what we believe to be the first mission rehearsal carotid stenting case using a specific patient's digital vascular anatomy.