Stroke Neurointervention: A Novel Educational Pathway to Improve Neurology Resident Training in Neurointervention and Regional Access to Thrombectomy

Large vessel occlusions account for ≈30% of acute ischemic stroke. Mechanical thrombectomy is a highly beneficial treatment for large vessel occlusion strokes in appropriately selected patients. However, there is significant geographic variability in regional access to this important therapy, and br...

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Main Authors: Neil C. Suryadevara, Aravind Reddy, Deborah Bradshaw, Grahame C. Gould, Hesham E. Masoud
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:Stroke: Vascular and Interventional Neurology
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/SVIN.122.000414
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author Neil C. Suryadevara
Aravind Reddy
Deborah Bradshaw
Grahame C. Gould
Hesham E. Masoud
author_facet Neil C. Suryadevara
Aravind Reddy
Deborah Bradshaw
Grahame C. Gould
Hesham E. Masoud
author_sort Neil C. Suryadevara
collection DOAJ
description Large vessel occlusions account for ≈30% of acute ischemic stroke. Mechanical thrombectomy is a highly beneficial treatment for large vessel occlusion strokes in appropriately selected patients. However, there is significant geographic variability in regional access to this important therapy, and broadening coverage by using non‐neuroscience specialties places patients at risk for suboptimal cerebrovascular care. An alternative solution is to train more neurologists to perform this procedure and consolidate expertise in vascular neurology. However, neurology residents have minimal exposure to the angiography suite and are disadvantaged in this regard when it comes to preparedness for fellowship training. We detail a novel training pathway incorporating neuroendovascular training into the adult neurology residency and an option to continue hybridized stroke–neurointervention training in a vascular neurology fellowship. Here, we present the development of the training curriculum, early trainee experience, and challenges to widespread implementation. The stroke–neurointervention training pathway was created with the intention of improving access to this important therapy by enfolding early training into neurology residency.
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spelling doaj.art-5dd911dadb7947c0b06a4dce388e6c7c2023-04-19T11:15:14ZengWileyStroke: Vascular and Interventional Neurology2694-57462022-11-012610.1161/SVIN.122.000414Stroke Neurointervention: A Novel Educational Pathway to Improve Neurology Resident Training in Neurointervention and Regional Access to ThrombectomyNeil C. Suryadevara0Aravind Reddy1Deborah Bradshaw2Grahame C. Gould3Hesham E. Masoud4Department of Neurology State University of New York Upstate Medical University Syracuse NYDepartment of Neurology State University of New York Upstate Medical University Syracuse NYDepartment of Neurology State University of New York Upstate Medical University Syracuse NYDepartment of Neurosurgery State University of New York Upstate Medical University Syracuse NYDepartment of Neurology State University of New York Upstate Medical University Syracuse NYLarge vessel occlusions account for ≈30% of acute ischemic stroke. Mechanical thrombectomy is a highly beneficial treatment for large vessel occlusion strokes in appropriately selected patients. However, there is significant geographic variability in regional access to this important therapy, and broadening coverage by using non‐neuroscience specialties places patients at risk for suboptimal cerebrovascular care. An alternative solution is to train more neurologists to perform this procedure and consolidate expertise in vascular neurology. However, neurology residents have minimal exposure to the angiography suite and are disadvantaged in this regard when it comes to preparedness for fellowship training. We detail a novel training pathway incorporating neuroendovascular training into the adult neurology residency and an option to continue hybridized stroke–neurointervention training in a vascular neurology fellowship. Here, we present the development of the training curriculum, early trainee experience, and challenges to widespread implementation. The stroke–neurointervention training pathway was created with the intention of improving access to this important therapy by enfolding early training into neurology residency.https://www.ahajournals.org/doi/10.1161/SVIN.122.000414educationinterventionalneurologyresidencystrokethrombectomy
spellingShingle Neil C. Suryadevara
Aravind Reddy
Deborah Bradshaw
Grahame C. Gould
Hesham E. Masoud
Stroke Neurointervention: A Novel Educational Pathway to Improve Neurology Resident Training in Neurointervention and Regional Access to Thrombectomy
Stroke: Vascular and Interventional Neurology
education
interventional
neurology
residency
stroke
thrombectomy
title Stroke Neurointervention: A Novel Educational Pathway to Improve Neurology Resident Training in Neurointervention and Regional Access to Thrombectomy
title_full Stroke Neurointervention: A Novel Educational Pathway to Improve Neurology Resident Training in Neurointervention and Regional Access to Thrombectomy
title_fullStr Stroke Neurointervention: A Novel Educational Pathway to Improve Neurology Resident Training in Neurointervention and Regional Access to Thrombectomy
title_full_unstemmed Stroke Neurointervention: A Novel Educational Pathway to Improve Neurology Resident Training in Neurointervention and Regional Access to Thrombectomy
title_short Stroke Neurointervention: A Novel Educational Pathway to Improve Neurology Resident Training in Neurointervention and Regional Access to Thrombectomy
title_sort stroke neurointervention a novel educational pathway to improve neurology resident training in neurointervention and regional access to thrombectomy
topic education
interventional
neurology
residency
stroke
thrombectomy
url https://www.ahajournals.org/doi/10.1161/SVIN.122.000414
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