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

Author:

Nardai Sandor1,Lanzer Peter2,Abelson Mark3,Baumbach Andreas4ORCID,Doehner Wolfram5ORCID,Hopkins L Nelson6,Kovac Jan7,Meuwissen Martijn8,Roffi Marco9ORCID,Sievert Horst10,Skrypnik Dmitry11ORCID,Sulzenko Jakub12ORCID,van Zwam Wim13ORCID,Gruber Andreas14,Ribo Marc15ORCID,Cognard Christophe16ORCID,Szikora Istvan17ORCID,Flodmark Olof18,Widimsky Petr12ORCID

Affiliation:

1. Department Section of Neurointervention, National Institute of Clinical Neurosciences, Semmelweis University Heart and Vascular Center and Semmelweis University, Budapest, Hungary

2. Mitteldeutsches Herzzentrum, Standort Bitterfeld-Wolfen, Germany

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

4. Centre for Cardiovascular Medicine and Devices, William Harvey Research Institute, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK

5. Berlin Institute of Health Center for Regenerative Therapies (BCRT), and Department of Cardiology (Virchow Klinikum), German Centre for Cardiovascular Research (DZHK), Partner Site Berlin, and Center for Stroke Research Berlin, Charité Universitätsmedizin Berlin, Germany

6. Gates Vascular Institute and Jacobs Institute, Neurosurgery and Radiology, University at Buffalo, USA

7. University Hospitals of Leicester NHS Trust, Leicester, UK

8. Amphia Hospital, Breda, The Netherlands

9. Division of cardiology, University Hospitals, Geneva, Switzerland

10. CardioVascular Center Frankfurt, Germany and Anglia Ruskin University, Chelmsford, UK

11. Department of Interventional Cardiology, Moscow Hospital I. Davydovsky and Moscow State University of Medicine and Dentistry, Russian Federation

12. Cardiocenter, Third Faculty of Medicine, Charles University, Prague, Czech Republic

13. Department of Radiology and Nuclear Medicin, Academic Hospital of Maastricht, Maastricht, The Netherlands

14. Universitätsklinik für Neurochirurgie, Kepler Universitäts Klinikum, Linz, Austria

15. Department of Neurology, Hospital Wall d’Hebron, Barcelona, Spain

16. Department of Diagnostic and Therapeutic Neuroradiology Hôpital Purpan, Toulouse, France

17. Department Section of Neurointervention, National Institute of Clinical Neurosciences, Semmelweis University, Budapest, Hungary

18. Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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