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Enrolling by invitationNCT07533214Updated Apr 16, 2026

Impact of Left-Handed Tailored Endoscopic Mitral Simulation Training on Skill Acquisition for Left-handed Surgeons

An interventional study of Endoscopic annular suture placement guided by left handed instructor in Cardiac Surgery, Training and Suture, sponsored by Academisch Ziekenhuis Maastricht. Enrolling by invitation at 1 site in Portugal. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Academisch Ziekenhuis Maastricht · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Sex
All
01

Study summary

Study Characteristics and Structure are as follows:

All Left-handed cardiac surgeons and residents attending the 2024 EACTS annual meeting (october 2024) are invited to any of the 3-day 8-endoscopic sessions as part of this study trial. The Left-handed cardiac surgeons and residents may participte in any of the sessions which best fits their schedule. Time frame includes all three days of endoscopic simulation sessions as walk-ins according to the availability of each surgeon. The exclusion criteria will be experienced endoscopic left-handed surgeons who are already experts. Left-handed surgeons will be randomized to either the standard right-handed guided simulation training session or to a Left-handed tailored simulation session.

Study Intervention: Left-handed surgeons and residents will be randomized to either a 2-hour Left-handed tailored-guided session (Group 1) or a standard right-handed guided 2-hour endoscopic simulation training session (Group 2).

Setting: EACTS 2024 annual meeting (october 2024 - 3-day convention)

Group 1 will be guided by a left-handed intructor using Left-handed endoscopic suture maps Group 2 will be guided by a right-handed intructor using Standard right-handed suture maps

Pre-course tests will evaluate accuracy and time of endoscopic suture placement in comparison to post-course tests to assess improvements. Pre-session assessments will be carried out evaluating endoscopic suture placement accuracy and time to suture placement. These include:

  1. Time to suture placement under \<60 seconds
  2. Accuracy of suture placement considered to be between 2-8 mm
  3. Suture placement locations will be both Anterior and Posterior annular placements

Post-skills sessions assessment: finalizing the 2-hour workshop the participants will be asked to repeat both the anterior and posterior annular endoscopic suture placement.

Final study evaluations and delta time comparisons will be performed to determine if Left-handed surgeons guided by left-handed surgeons outperform or at least fair better then when guided by right-handed instructors.

Read the detailed description

Determine if during endoscopic simulation training the pairing of LH surgeons with LH instructors will outperform LH surgeons guided by right-handed intructors.

Determine whether LH surgeons guided by right-handed instructors on simulation training fair worse against Right-handed to right handed simulation training.

We hypothesize that the pairing of same dexterity tailored training will improve endoscopic skill performance.

02

Conditions studied

  • Cardiac Surgery
  • Training
  • Suture
  • Left-handed

Keywords

  • cardiac
  • left-hand
  • simulation
03

In context

Lead sponsor

Academisch Ziekenhuis Maastricht is the lead sponsor of 23 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Left handed cardiac surgeons and residents

Exclusion criteria

Exclusion Criteria:

  • experienced endoscopic left handed surgeons
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    Left-handed surgeons with left-handed instructors

    Determine if during endoscopic simulation training the pairing of LH surgeons with LH instructors will outperform LH surgeons guided by right-handed intructors.

    Procedure: Endoscopic annular suture placement guided by left handed instructor

  • No intervention
    Left-handed surgeons with right-handed instructor

    Determine whether LH surgeons guided by right-handed instructors on simulation training fair worse against Right-handed to right handed simulation training.

Interventions

  • ProcedureEndoscopic annular suture placement guided by left handed instructor

    Endoscopic suture placement efficiency guided by left hamded instructors

06

What researchers measure

Primary outcomes

  1. Delta time difference of suture placement

    Final study evaluations and delta time comparisons will be performed to determine if Left-handed surgeons guided by left-handed surgeons outperform or at least fair better then when guided by right-handed instructors. Study Objectives: Determine if during endoscopic simulation training the pairing of LH surgeons with LH instructors will outperform LH surgeons guided by right-handed intructors. Determine whether LH surgeons guided by right-handed instructors on simulation training fair worse against Right-handed to right handed simulation training. We hypothesize that the pairing of same dexterity tailored training will improve endoscopic skill performance.

    Time frame: From the randomisation (start of the training) to the end of two-hours training

  2. improvement in seconds taken to perform mitral suturing

    time duration it takes to successfully place mitral annular sutures on simulators

    Time frame: this will be performed during a two hour course

07

Study locations

1 site
  • EACTS ANNUAL MEETING AT Lisbon convention center
    Portugal, Portugal
08

References and documents

Individual participant data

Plan to share: No — Participants will be anonymous

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07533214
Lead sponsor
Academisch Ziekenhuis Maastricht
Responsible party
Peyman Sardari Nia (Cardiothoracic Surgeon, Academisch Ziekenhuis Maastricht) — Principal investigator
First posted
Apr 16, 2026
Start date
Oct 9, 2024
Primary completion
Oct 12, 2025
Completion
Oct 12, 2026 (estimated)
Last update
Apr 16, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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