World Federation for Interventional Stroke Treatment (WIST) Multispecialty Training Guidelines for Endovascular Stroke Intervention

Iris Q. Grunwald; Klaus Mathias; Stefan Bertog; Kenneth V. Snyder; Horst Sievert; Adnan Siddiqui; Piotr Musialek; Marius Hornung; Panagiotes Papanagiotou; Simone Comelli; Sanjay Pillai; Helen Routledge; Rafal T. Nizankowski; Ian Ewart; Klaus Fassbender; Anna L. Kühn; Carlos A. Alvarez; Bagrat Alekyan; Dmitry Skrypnik; Maria Politi; Lukasz Tekieli; Thomas Haldis; Shailesh Gaikwad; John Graeme Houston; Helen Donald-Simpson; Paul Guyler; Ivo Petrov; Christine Roffe; Mark Abelson; David Hargroves; Sunithi Mani; Anna Podlasek; Adam Witkowski; Kolja Sievert; Krzysztof Pawlowski; Artur Dziadkiewicz; Nelson L. Hopkins

doi:10.1016/j.carrev.2023.03.004

World Federation for Interventional Stroke Treatment (WIST) Multispecialty Training Guidelines for Endovascular Stroke Intervention

Iris Q. Grunwald
, Klaus Mathias
, Stefan Bertog
, Kenneth V. Snyder
, Horst Sievert
, Adnan Siddiqui
, Piotr Musialek
, Marius Hornung
, Panagiotes Papanagiotou
, Simone Comelli
, Sanjay Pillai
, Helen Routledge
, Rafal T. Nizankowski
, Ian Ewart
, Klaus Fassbender
, Anna L. Kühn
, Carlos A. Alvarez
, Bagrat Alekyan
, Dmitry Skrypnik
, Maria Politi

Lukasz Tekieli, Thomas Haldis, Shailesh Gaikwad, John Graeme Houston, Helen Donald-Simpson, Paul Guyler, Ivo Petrov, Christine Roffe, Mark Abelson, David Hargroves, Sunithi Mani, Anna Podlasek, Adam Witkowski, Kolja Sievert, Krzysztof Pawlowski, Artur Dziadkiewicz, Nelson L. Hopkins

Neurosurgery

NHS Tayside
University of Dundee
Sankt Katharinen
Asklepios Clinik St. Georg–Klinische und Interventionelle Angiologie
VA Medical Center
Jagiellonian University Medical College
SRH Klinikum Karlsbad-Langensteinbach
Hospital Bremen-Mitte/Bremen-Ost
National and Kapodistrian University of Athens
AO Brotzu
Worcestershire Acute Hospitals NHS Trust
National Centre for Health Quality Assessment
Mid and South Essex NHS Foundation Trust
Saarland University
University of Massachusetts Medical School
Hospital Privado Del Sur and Hospital Regional Español
A.V. Vishnevsky Institute of Surgery
Lomonosov Moscow State University
Sanford Medical Center
All India Institute of Medical Sciences, New Delhi
Acibadem City Clinic-Cardiovascular Center
University Hospitals of North Midlands NHS Trust
University of Cape Town
East Kent Hospitals University NHS Foundation Trust
Jerudong Park Medical Centre
University of Nottingham
Cardinal Stefan Wyszynski Institute of Cardiology
Pomeranian Hospitals
SUNY Buffalo
Women and Children's Hospital of Buffalo
Jacobs Institute

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Introduction: 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. Aim: To provide multi-specialty training guidelines for competency, accreditation and certification of centres and physicians in EVT for acute large vessel occlusion strokes. Material and methods: 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. Results: 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. Conclusions: 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. The World Federation for Interventional Stroke Treatment (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 endovascular treatment (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 centers to perform safe and effective EVT. The role of quality control and quality assurance is highlighted. Simultaneous publication: The WIST 2023 Guidelines are published simultaneously in Europe (Adv Interv Cardiol 2023).

Original language	English
Pages (from-to)	67-72
Number of pages	6
Journal	Cardiovascular Revascularization Medicine
Volume	53
DOIs	https://doi.org/10.1016/j.carrev.2023.03.004
State	Published - Aug 2023

Keywords

Acute stroke
Acute stroke intervention
Ischaemic stroke
Mechanical thrombectomy
Stroke

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10.1016/j.carrev.2023.03.004

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Grunwald, I. Q., Mathias, K., Bertog, S., Snyder, K. V., Sievert, H., Siddiqui, A., Musialek, P., Hornung, M., Papanagiotou, P., Comelli, S., Pillai, S., Routledge, H., Nizankowski, R. T., Ewart, I., Fassbender, K., Kühn, A. L., Alvarez, C. A., Alekyan, B., Skrypnik, D., ... Hopkins, N. L. (2023). World Federation for Interventional Stroke Treatment (WIST) Multispecialty Training Guidelines for Endovascular Stroke Intervention. Cardiovascular Revascularization Medicine, 53, 67-72. https://doi.org/10.1016/j.carrev.2023.03.004

@article{82201284b96d4ff39ab7398a2c3c3fce,

title = "World Federation for Interventional Stroke Treatment (WIST) Multispecialty Training Guidelines for Endovascular Stroke Intervention",

abstract = "Introduction: 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. Aim: To provide multi-specialty training guidelines for competency, accreditation and certification of centres and physicians in EVT for acute large vessel occlusion strokes. Material and methods: The World Federation for Interventional Stroke Treatment (WIST) consists of experts in the field of endovascular stroke treatment. This interdisciplinary working group developed competency {\textendash} rather than time-based {\textendash} guidelines for operator training, taking into consideration trainees' previous skillsets and experience. Existing training concepts from mostly single specialty organizations were analysed and incorporated. Results: 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. Conclusions: 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. The World Federation for Interventional Stroke Treatment (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 endovascular treatment (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 centers to perform safe and effective EVT. The role of quality control and quality assurance is highlighted. Simultaneous publication: The WIST 2023 Guidelines are published simultaneously in Europe (Adv Interv Cardiol 2023).",

keywords = "Acute stroke, Acute stroke intervention, Ischaemic stroke, Mechanical thrombectomy, Stroke",

author = "Grunwald, \{Iris Q.\} and Klaus Mathias and Stefan Bertog and Snyder, \{Kenneth V.\} and Horst Sievert and Adnan Siddiqui and Piotr Musialek and Marius Hornung and Panagiotes Papanagiotou and Simone Comelli and Sanjay Pillai and Helen Routledge and Nizankowski, \{Rafal T.\} and Ian Ewart and Klaus Fassbender and K{\"u}hn, \{Anna L.\} and Alvarez, \{Carlos A.\} and Bagrat Alekyan and Dmitry Skrypnik and Maria Politi and Lukasz Tekieli and Thomas Haldis and Shailesh Gaikwad and Houston, \{John Graeme\} and Helen Donald-Simpson and Paul Guyler and Ivo Petrov and Christine Roffe and Mark Abelson and David Hargroves and Sunithi Mani and Anna Podlasek and Adam Witkowski and Kolja Sievert and Krzysztof Pawlowski and Artur Dziadkiewicz and Hopkins, \{Nelson L.\}",

note = "Publisher Copyright: {\textcopyright} 2023 The Authors",

year = "2023",

month = aug,

doi = "10.1016/j.carrev.2023.03.004",

language = "English",

volume = "53",

pages = "67--72",

journal = "Cardiovascular Revascularization Medicine",

issn = "1553-8389",

publisher = "Elsevier Inc.",

}

Grunwald, IQ, Mathias, K, Bertog, S, Snyder, KV, Sievert, H, Siddiqui, A, Musialek, P, Hornung, M, Papanagiotou, P, Comelli, S, Pillai, S, Routledge, H, Nizankowski, RT, Ewart, I, Fassbender, K, Kühn, AL, Alvarez, CA, Alekyan, B, Skrypnik, D, Politi, M, Tekieli, L, Haldis, T, Gaikwad, S, Houston, JG, Donald-Simpson, H, Guyler, P, Petrov, I, Roffe, C, Abelson, M, Hargroves, D, Mani, S, Podlasek, A, Witkowski, A, Sievert, K, Pawlowski, K, Dziadkiewicz, A & Hopkins, NL 2023, 'World Federation for Interventional Stroke Treatment (WIST) Multispecialty Training Guidelines for Endovascular Stroke Intervention', Cardiovascular Revascularization Medicine, vol. 53, pp. 67-72. https://doi.org/10.1016/j.carrev.2023.03.004

TY - JOUR

T1 - World Federation for Interventional Stroke Treatment (WIST) Multispecialty Training Guidelines for Endovascular Stroke Intervention

AU - Grunwald, Iris Q.

AU - Mathias, Klaus

AU - Bertog, Stefan

AU - Snyder, Kenneth V.

AU - Sievert, Horst

AU - Siddiqui, Adnan

AU - Musialek, Piotr

AU - Hornung, Marius

AU - Papanagiotou, Panagiotes

AU - Comelli, Simone

AU - Pillai, Sanjay

AU - Routledge, Helen

AU - Nizankowski, Rafal T.

AU - Ewart, Ian

AU - Fassbender, Klaus

AU - Kühn, Anna L.

AU - Alvarez, Carlos A.

AU - Alekyan, Bagrat

AU - Skrypnik, Dmitry

AU - Politi, Maria

AU - Tekieli, Lukasz

AU - Haldis, Thomas

AU - Gaikwad, Shailesh

AU - Houston, John Graeme

AU - Donald-Simpson, Helen

AU - Guyler, Paul

AU - Petrov, Ivo

AU - Roffe, Christine

AU - Abelson, Mark

AU - Hargroves, David

AU - Mani, Sunithi

AU - Podlasek, Anna

AU - Witkowski, Adam

AU - Sievert, Kolja

AU - Pawlowski, Krzysztof

AU - Dziadkiewicz, Artur

AU - Hopkins, Nelson L.

PY - 2023/8

Y1 - 2023/8

N2 - Introduction: 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. Aim: To provide multi-specialty training guidelines for competency, accreditation and certification of centres and physicians in EVT for acute large vessel occlusion strokes. Material and methods: 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. Results: 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. Conclusions: 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. The World Federation for Interventional Stroke Treatment (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 endovascular treatment (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 centers to perform safe and effective EVT. The role of quality control and quality assurance is highlighted. Simultaneous publication: The WIST 2023 Guidelines are published simultaneously in Europe (Adv Interv Cardiol 2023).

AB - Introduction: 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. Aim: To provide multi-specialty training guidelines for competency, accreditation and certification of centres and physicians in EVT for acute large vessel occlusion strokes. Material and methods: 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. Results: 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. Conclusions: 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. The World Federation for Interventional Stroke Treatment (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 endovascular treatment (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 centers to perform safe and effective EVT. The role of quality control and quality assurance is highlighted. Simultaneous publication: The WIST 2023 Guidelines are published simultaneously in Europe (Adv Interv Cardiol 2023).

KW - Acute stroke

KW - Acute stroke intervention

KW - Ischaemic stroke

KW - Mechanical thrombectomy

KW - Stroke

UR - https://www.scopus.com/pages/publications/85158166984

U2 - 10.1016/j.carrev.2023.03.004

DO - 10.1016/j.carrev.2023.03.004

M3 - Article

C2 - 37012107

AN - SCOPUS:85158166984

SN - 1553-8389

VL - 53

SP - 67

EP - 72

JO - Cardiovascular Revascularization Medicine

JF - Cardiovascular Revascularization Medicine

ER -

World Federation for Interventional Stroke Treatment (WIST) Multispecialty Training Guidelines for Endovascular Stroke Intervention

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