World Stroke Organization mechanical thrombectomy workshops combined with the Global Stroke Alliance builds regional capacity
31 affiliations
- 1Semmes-Murphey Clinic, University of Tennessee Health Science Center , , ,
- 2Neurology Division, Jefferson Einstein Philadelphia Hospital , , ,
- 3St Michaels’s Hospital , , ,
- 4Jackson North , , ,
- 5Miller School of Medicine, University of Miami , , ,
- 6Shaio Clinic Foundation , ,
- 7Department of Neurosurgery, Johns Hopkins University School of Medicine , , ,
- 8Autonomous University of Bucaramanga , ,
- 9Northwell Health , , ,
- 10Division of Neurocritical Care, Department of Neurology and Neurosurgery, Emory University School of Medicine , , ,
- 11Hospital Vall d’Hebron , ,
- 12Neurointerventional Unit, Hospital Clinico Universitario San Carlos , ,
- 13Department of Radiology (S.G.), IAU Stroke Center, Istanbul Aydin University , ,
- 14Department of Neurology, Alexandria University , ,
- 15Department of Neurology, Bakırköy Research and Training Hospital for Psychiatry, Neurology, Neurosurgery , ,
- 16Department of Interventional Radiology, Ba¸skent University Dr. Turgut Noyan Application and Research Center , ,
- 17Eskisehir Osmangazi University , ,
- 18Department of Neurointerventional Surgery, Sir H. N. Reliance Foundation Hospital and Research Centre , , ,
- 19Department of Interventional Neurology, Mazumdar Shaw Medical Center, Narayana Health Institute of Neuroscience , ,
- 20Department of Neurosciences and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo , ,
- 21Department of Neurointervention Surgery, Neurointervention Surgery, Institute of Neurosciences, Medanta, The Medicity Gurugram , , ,
- 22Department of Neurology, Dr Lutfi Kirdar City Hospital , ,
- 23Department of Neurology, Gaziantep University , ,
- 24Departments of Neurology, Neurosurgery, and Radiology, Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Emory University School of Medicine , , ,
- 25Department of Interventional Neuroradiology, Gold Coast University Hospital , , ,
- 26Neurological Intervention and Imaging Service of Western Australia (NIISWA) , , ,
- 27Paras Health , , ,
- 28St Michaels’ Hospital , , ,
- 29Stroke Center Bach Mai Hospital , ,
- 30Department of Neurology, Christian Medical College and Hospital Ludhiana , ,
- 31Universidade Federal do Rio Grande do Sul , ,
Abstract
Introduction: Access to mechanical thrombectomy (MT) remains limited in many low- and middle-income or resource-limited regions because of gaps in trained personnel, procedural experience, public awareness, and stroke-system readiness. The World Stroke Organization paired simulation-based MT workshops with the Global Stroke Alliance to combine hands-on neurointerventional education with regional advocacy, Ministry of Health engagement, public awareness activities, and stakeholder collaboration. This study evaluated the feasibility, scalability, and self-reported educational impact of MT workshops delivered within this broader WSO/GSA capacity-building framework.
Methods: A comprehensive 22-h curriculum was developed, incorporating didactic sessions, hands-on simulations, and complex case studies in collaboration with the Global Stroke Alliance between August 2023 and July 2025. The workshops were designed for neurointerventional physicians and tailored to regional needs. Pre- and post-course assessments measured physician confidence in MT procedures, while a three-month follow-up survey evaluated changes in MT volumes and clinical practice. Data were analyzed using summary statistics, chi-square tests, and McNemar’s tests as appropriate.
Results: Among 112 participating physicians from 24 countries, 81% completed the pre-test and 72% completed the post-test; 67% had paired pre- and post-test responses. The proportion of participants rating themselves as “very comfortable” increased from 15% pre-workshop to 41% post-workshop ( p < 0.001), with notable improvements in patient selection for MT (15–48%, p < 0.001), procedural access knowledge (15–46%, p < 0.001), thrombectomy technique (9–41%, p < 0.001), and avoiding harmful maneuvers (7–33%, p < 0.001). At 3 months, 32 participants completed follow-up, of whom 37.5% self-reported an increase in overall thrombectomy numbers.
Conclusion: Simulation-based MT workshops are feasible and scalable across multiple regions and were associated with improved self-reported procedural confidence and early self-reported changes in clinical practice. These findings support structured hands-on training as one component of broader capacity-building efforts, while highlighting the need for objective procedural volume, patient outcome, and registry-based data to determine the effect of such programs on MT access and stroke care delivery.
Related
- Mechanical Thrombectomy of a Combined Persistent Primitive Trigeminal Artery and Basilar Artery Occlusion: A Case Report and Literature Review
- Effects of mechanical thrombectomy combined with anticoagulation vs anticoagulation monotherapy for acute intermediate-high risk pulmonary embolism: study protocol for a randomized controlled trial (CAPE study, ChiCTR2500095253, https://www.medicalresearch.org.cn/clinicalResearch/researchInfo?id=c57630b7-51ec-4b24-83e1-85b9c0a835d6).
- Mechanical thrombectomy for superior sagittal sinus thrombosis in early pregnancy: a case report
- Central retinal artery occlusion preceding hemispheric ischemic stroke treated with mechanical thrombectomy : A case report
- Thrombophilic Variants and Clinical Outcomes in Young Ischaemic Stroke Patients Undergoing Mechanical Thrombectomy: A Retrospective Cohort Study
BibTeX
@article{inoa2026world,
title = {{World Stroke Organization mechanical thrombectomy workshops combined with the Global Stroke Alliance builds regional capacity}},
author = {Violiza Inoa and Ryna Then and Nicole M. Cancelliere and Nitin Goyal and Karelle Spence and Michael J. Wells and Andres Fonnegra and Omar Lopez and Fernando Gonzalez and Daniel Mantilla and Alex Eusebio and Cedric Pimentel and Marc Ribo and Manuel Moreu and Serdar Geyik and Ossama Mansour and Songul Senadim Kaytanci and Cagatay Andiç and Atilla Ozcan Ozdemir and Vipul Gupta and Vikram Huded and Octavio Marques Pontes-Neto and Gaurav Goel and Erdem Gurkas and Semih Giray and Raul Nogueira and Laetitia de Villiers and Ruchi Kabra and Rajsrinivas Parthasarathy and Vitor Mendes Pereira and Vu Dang Luu and Jeyaraj Pandian and Sheila Martins and Gillian Gordon Perue},
journal = {Frontiers in neurology},
year = {2026},
month = oct,
doi = {10.3389/fneur.2026.1866027},
url = {https://europepmc.org/article/PMC/PMC13672226},
note = {CC BY},
}
RIS
TY - JOUR
TI - World Stroke Organization mechanical thrombectomy workshops combined with the Global Stroke Alliance builds regional capacity
AU - Violiza Inoa
AU - Ryna Then
AU - Nicole M. Cancelliere
AU - Nitin Goyal
AU - Karelle Spence
AU - Michael J. Wells
AU - Andres Fonnegra
AU - Omar Lopez
AU - Fernando Gonzalez
AU - Daniel Mantilla
AU - Alex Eusebio
AU - Cedric Pimentel
AU - Marc Ribo
AU - Manuel Moreu
AU - Serdar Geyik
AU - Ossama Mansour
AU - Songul Senadim Kaytanci
AU - Cagatay Andiç
AU - Atilla Ozcan Ozdemir
AU - Vipul Gupta
AU - Vikram Huded
AU - Octavio Marques Pontes-Neto
AU - Gaurav Goel
AU - Erdem Gurkas
AU - Semih Giray
AU - Raul Nogueira
AU - Laetitia de Villiers
AU - Ruchi Kabra
AU - Rajsrinivas Parthasarathy
AU - Vitor Mendes Pereira
AU - Vu Dang Luu
AU - Jeyaraj Pandian
AU - Sheila Martins
AU - Gillian Gordon Perue
PY - 2026
DA - 2026/10/02
JO - Frontiers in neurology
DO - 10.3389/fneur.2026.1866027
UR - https://europepmc.org/article/PMC/PMC13672226
AB - Introduction: Access to mechanical thrombectomy (MT) remains limited in many low- and middle-income or resource-limited regions because of gaps in trained personnel, procedural experience, public awareness, and stroke-system readiness. The World Stroke Organization paired simulation-based MT workshops with the Global Stroke Alliance to combine hands-on neurointerventional education with regional advocacy, Ministry of Health engagement, public awareness activities, and stakeholder collaboration. This study evaluated the feasibility, scalability, and self-reported educational impact of MT workshops delivered within this broader WSO/GSA capacity-building framework. Methods: A comprehensive 22-h curriculum was developed, incorporating didactic sessions, hands-on simulations, and complex case studies in collaboration with the Global Stroke Alliance between August 2023 and July 2025. The workshops were designed for neurointerventional physicians and tailored to regional needs. Pre- and post-course assessments measured physician confidence in MT procedures, while a three-month follow-up survey evaluated changes in MT volumes and clinical practice. Data were analyzed using summary statistics, chi-square tests, and McNemar’s tests as appropriate. Results: Among 112 participating physicians from 24 countries, 81% completed the pre-test and 72% completed the post-test; 67% had paired pre- and post-test responses. The proportion of participants rating themselves as “very comfortable” increased from 15% pre-workshop to 41% post-workshop ( p < 0.001), with notable improvements in patient selection for MT (15–48%, p < 0.001), procedural access knowledge (15–46%, p < 0.001), thrombectomy technique (9–41%, p < 0.001), and avoiding harmful maneuvers (7–33%, p < 0.001). At 3 months, 32 participants completed follow-up, of whom 37.5% self-reported an increase in overall thrombectomy numbers. Conclusion: Simulation-based MT workshops are feasible and scalable across multiple regions and were associated with improved self-reported procedural confidence and early self-reported changes in clinical practice. These findings support structured hands-on training as one component of broader capacity-building efforts, while highlighting the need for objective procedural volume, patient outcome, and registry-based data to determine the effect of such programs on MT access and stroke care delivery.
SN - 1664-2295
ER -