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. 2021 Jan 21;42(4):298-307.
doi: 10.1093/eurheartj/ehaa833.

Interdisciplinary management of acute ischaemic stroke: Current evidence training requirements for endovascular stroke treatment. Position Paper from the ESC Council on Stroke and the European Association for Percutaneous Cardiovascular Interventions with the support of the European Board of Neurointervention

Sandor Nardai  1 , Peter Lanzer  2 , Mark Abelson  3 , Andreas Baumbach  4 , Wolfram Doehner  5 , L Nelson Hopkins  6 , Jan Kovac  7 , Martijn Meuwissen  8 , Marco Roffi  9 , Horst Sievert  10 , Dmitry Skrypnik  11 , Jakub Sulzenko  12 , Wim van Zwam  13 , Andreas Gruber  14 , Marc Ribo  15 , Christophe Cognard  16 , Istvan Szikora  17 , Olof Flodmark  18 , Petr Widimsky  12
Affiliations

Interdisciplinary management of acute ischaemic stroke: Current evidence training requirements for endovascular stroke treatment. Position Paper from the ESC Council on Stroke and the European Association for Percutaneous Cardiovascular Interventions with the support of the European Board of Neurointervention

Sandor Nardai et al. Eur Heart J. .

Abstract

This ESC Council on Stroke/EAPCI/EBNI position paper summarizes recommendations for training of cardiologists in endovascular treatment of acute ischaemic stroke. Interventional cardiologists adequately trained to perform endovascular stroke interventions could complement stroke teams to provide the 24/7 on call duty and thus to increase timely access of stroke patients to endovascular treatment. The training requirements for interventional cardiologists to perform endovascular therapy are described in details and should be based on two main principles: (i) patient safety cannot be compromised, (ii) proper training of interventional cardiologists should be under supervision of and guaranteed by a qualified neurointerventionist and within the setting of a stroke team. Interdisciplinary cooperation based on common standards and professional consensus is the key to the quality improvement in stroke treatment.

Keywords: Thrombectomy; Acute ischaemic stroke; Carotid stenting; Endovascular; Interventional cardiology; Neurointervention; Training requirements.

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