World Federation for Interventional Stroke Treatment (WIST) multispecialty training guidelines for endovascular stroke intervention.

acute stroke acute stroke intervention ischaemic stroke mechanical thrombectomy stroke

Journal

Postepy w kardiologii interwencyjnej = Advances in interventional cardiology
ISSN: 1734-9338
Titre abrégé: Postepy Kardiol Interwencyjnej
Pays: Poland
ID NLM: 101272671

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 21 01 2023
accepted: 21 01 2023
medline: 24 4 2023
pubmed: 24 4 2023
entrez: 24 04 2023
Statut: ppublish

Résumé

Today, endovascular treatment (EVT) is the therapy of choice for strokes due to acute large vessel occlusion, irrespective of prior thrombolysis. This necessitates fast, coordinated multi-specialty collaboration. Currently, in most countries, the number of physicians and centres with expertise in EVT is limited. Thus, only a small proportion of eligible patients receive this potentially life-saving therapy, often after significant delays. Hence, there is an unmet need to train a sufficient number of physicians and centres in acute stroke intervention in order to allow widespread and timely access to EVT. To provide multi-specialty training guidelines for competency, accreditation and certification of centres and physicians in EVT for acute large vessel occlusion strokes. The World Federation for Interventional Stroke Treatment (WIST) consists of experts in the field of endovascular stroke treatment. This interdisciplinary working group developed competency - rather than time-based - guidelines for operator training, taking into consideration trainees' previous skillsets and experience. Existing training concepts from mostly single specialty organizations were analysed and incorporated. The WIST establishes an individualized approach to acquiring clinical knowledge and procedural skills to meet the competency requirements for certification of interventionalists of various disciplines and stroke centres in EVT. WIST guidelines encourage acquisition of skills using innovative training methods such as structured supervised high-fidelity simulation and procedural performance on human perfused cadaveric models. WIST multispecialty guidelines outline competency and quality standards for physicians and centres to perform safe and effective EVT. The role of quality control and quality assurance is highlighted.

Identifiants

DOI: 10.5114/aic.2023.124742 PMID: 37090217 PMC: PMC10114172
pubmed: 37090217
doi: 10.5114/aic.2023.124742
pii: 50069
pmc: PMC10114172
doi:

Types de publication

Journal Article

Langues

eng

Pagination

6-13

Informations de copyright

Copyright: © 2023 Termedia Sp. z o. o.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Iris Q Grunwald (IQ)

Department of Radiology, NHS Tayside, Dundee, UK.
Tayside Innovation MedTech Ecosystem (TIME), Division of Imaging Science and Technology, School of Medicine, University of Dundee, UK.
Cardiovascular Center Frankfurt, Frankfurt, Germany.

Klaus Mathias (K)

Asklepios Clinik St. Georg - Klinische und Interventionelle Angiologie, Hamburg, Germany.

Stefan Bertog (S)

Cardiovascular Center Frankfurt, Frankfurt, Germany.
Minneapolis Veterans Affairs Medical Center, Minneapolis, MN, USA.

Kenneth V Snyder (KV)

Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo New York, USA; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA; Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA; Jacobs Institute, Buffalo, New York, USA.

Horst Sievert (H)

Cardiovascular Center Frankfurt, Frankfurt, Germany.

Adnan Siddiqui (A)

Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo New York, USA; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA; Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA; Jacobs Institute, Buffalo, New York, USA.

Piotr Musialek (P)

Department of Cardiac and Vascular Diseases, Jagiellonian University, John Paul II Hospital, Krakow, Poland.

Marius Hornung (M)

Cardiovascular Center Frankfurt, Frankfurt, Germany.
SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Germany.

Panagiotes Papanagiotou (P)

Department of Diagnostic and Interventional Neuroradiology, Hospital Bremen-Mitte/Bremen-Ost, Bremen, Germany.
First Department of Radiology, School of Medicine, National & Kapodistrian University of Athens, Areteion Hospital, Athens, Greece.

Simone Comelli (S)

S. C. Neuroradiologia ed Interventistica Vascolare, Ospedale S. Michele, Cagliari, Italy.

Sanjay Pillai (S)

Department of Radiology, NHS Tayside, Dundee, UK.

Helen Routledge (H)

Worcestershire Royal Hospital, Cardiology Department, Worcester, United Kingdom.

Rafal T Nizankowski (RT)

Accreditation Council, National Centre for Health Quality Assessment, Krakow, Poland.

Ian Ewart (I)

Mid and South Essex NHS Foundation Trust, Southend-on-Sea, United Kingdom.

Klaus Fassbender (K)

Department of Neurology, Saarland University Medical Center, Homburg, Germany.

Anna L Kühn (AL)

New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.

Carlos A Alvarez (CA)

Hospital Italiano Regional Del Sur, Hospital Privado Del Sur and Hospital Regional Español, Bahia Blanca, Argentina.

Bagrat Alekyan (B)

A.V. Vishnevsky Institute of Surgery, Moscow, Russia.

Dimitry Skrypnik (D)

I.V. Davidovsky City Hospital, Moscow State University and Dentistry, Moscow, Russia.

Maria Politi (M)

Department of Diagnostic and Interventional Neuroradiology, Hospital Bremen-Mitte/Bremen-Ost, Bremen, Germany.

Lukasz Tekieli (L)

Department of Cardiac and Vascular Diseases, Jagiellonian University, John Paul II Hospital, Krakow, Poland.

Thomas Haldis (T)

Sanford Medical Center, Fargo North Dakota, USA.

Shailesh Gaikwad (S)

Department of Neuroimaging and Interventional Neuroradiology, Neurosciences Center, Ansari Nagar, All India Institute of Medical Sciences (A.I.I.M.S), New Delhi, India.

John Graeme Houston (JG)

Tayside Innovation MedTech Ecosystem (TIME), Division of Imaging Science and Technology, School of Medicine, University of Dundee, UK.

Helen Donald-Simspon (H)

Tayside Innovation MedTech Ecosystem (TIME), Division of Imaging Science and Technology, School of Medicine, University of Dundee, UK.

Paul Guyler (P)

Mid and South Essex NHS Foundation Trust, Southend-on-Sea, United Kingdom.

Ivo Petrov (I)

Department of Cardiology and Angiology, Acibadem City Clinic-Cardiovascular Center, Sofia, Bulgaria.

Christine Roffe (C)

University Hospital of North Midlands, Keele University, Stoke-on-Trent, UK.

Mark Abelson (M)

Vergelegen MediClinic, Somerset West, University of Cape Town, South Africa.

David Hargroves (D)

East Kent Hospitals University NHS Foundation Trust, Ashford, United Kingdom.

Sunithi Mani (S)

Jerudong Park Medical Centre, Brunei.

Anna Podlasek (A)

Tayside Innovation MedTech Ecosystem (TIME), Division of Imaging Science and Technology, School of Medicine, University of Dundee, UK.
Precision Imaging Beacon, Radiological Sciences, University of Nottingham, Nottingham, United Kingdom.

Adam Witkowski (A)

Deptartment of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland.

Kolja Sievert (K)

Cardiovascular Center Frankfurt, Frankfurt, Germany.

Krzysztof Pawlowski (K)

Department of Cardiology and Interventional Angiology, Kashubian Center for Heart and Vascular Diseases, Pomeranian Hospitals, Wejherowo, Poland.

Artur Dziadkiewicz (A)

Department of Neurology and Stroke, Pomeranian Hospitals, Wejherowo, Poland.

Nelson L Hopkins (NL)

Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo New York, USA; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA; Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA; Jacobs Institute, Buffalo, New York, USA.

Classifications MeSH