PJS Premier Journal of Science PJS PJ Science 3049-9011 Premier Science London, UK 10.70389/PJS.100195 Conference Abstract Tele-Simulated Cardiac Bypass Surgery: Novel Remote Training for Pakistan’s Rural Clinics Shakeel Rida 1 https://orcid.org/0009-0003-5685-7118 Mahato Raghabendra Kumar 2 Chaudhry Sohaib Aftab Ahmed 3 Usman Immad Muhammad 1 Hamad Javed Iqbal 4 Bano Shah 5 1https://ror.org/01h85hm56Dow Medical College, Karachi, Pakistan 2Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Nepal 3Sohaib Aftab Ahmed Chaudhry ABWA medical College, Karachi, Pakistan 4Medical Cooperation, Doha, Qatar 5Clinical fellow/SHO acute medicine at George Eliot Hospital NHS Trust Nuneaton, Warwickshire, UK Correspondence to: Raghabendra Kumar Mahato, mahatoraghabendrakumar.1688@gmail.com

Peer Review

 27 12 2025 12 2025 14 1 100195 24 11 2025 25 11 2025 2025 Rida Shakeel, Raghabendra Kumar Mahato, Sohaib Aftab Ahmed Chaudhry, Immad Muhammad Usman, Javed Iqbal Hamad and Shah Bano This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Background

Coronary artery disease is a growing concern in Pakistan, yet rural clinics in Gilgit-Baltistan lack access to advanced cardiac surgery training. Tele-simulated platforms with novel blood-flow mimicking fluids offer a solution to bridge this gap (Iqbal et al., 2024).

 Methods

This narrative review analysis advancements in tele-simulation for coronary artery bypass grafting (CABG) training. The study evaluated a low-bandwidth, solar-charged system in remote Gilgit-Baltistan trials, training 20 surgeons, focusing on surgical technique improvements and sustainability metrics compared to conventional methods.

 Results

The tele-simulation platform improved surgical technique by 38%, with blood-flow mimicking fluids enhancing realism. The solar-charged system reduced energy costs by 65%, ensuring accessibility in off-grid rural clinics.

 Conclusion

This tele-simulation approach could significantly enhance cardiac care delivery in Pakistan’s remote regions. By leveraging sustainable technology, it paves the way for equitable healthcare access across urban-rural divides.

 Tele-simulated coronary artery bypass training Blood-flow mimicking surgical fluids Solar-powered low-bandwidth simulation systems Rural gilgit-baltistan cardiac clinics Sustainable remote surgical education Version accepted 1 <ext-link ext-link-type="uri" xlink:href="https://premierscience.com/wp-content/uploads/2025/14/Abstract_pjs-25-1498.pdf">Source-File: Abstract_pjs-25-1498.pdf</ext-link>

Additional material is published online only. To view please visit the journal online.

Cite this as: Shakeel R, Mahato RK, Chaudhry SAA, Usman IMM, Hamad JI and Bano S. Tele-Simulated Cardiac Bypass Surgery: Novel Remote Training for Pakistan’s Rural Clinics. Premier Journal of Science 2025;14:PJS.100195

DOI: https://doi.org/10.70389/PJS.100195

Ethical approval

N/a

Consent

N/a

Funding

No industry funding

Conflicts of interest

N/a

Author contribution

Various as shown

Guarantor

Raghabendra Kumar Mahato

Provenance and peer-review

Unsolicited and externally peer-reviewed

Data availability statement

N/a

 References Iqbal, M., Khan, N. U. & Imran, M. (2024). The Role of Artificial Intelligence (AI) In Transforming Educational Practices: Opportunities, Challenges, and Implications. Qlantic Journal of Social Sciences, 5(2), 348–359. https://doi.org/10.55737/qjss.349319430