ArticleEuropean radiology2020
Radiation exposure and fluoroscopy time in mechanical thrombectomy of anterior circulation ischemic stroke depending on the interventionalist's experience-a retrospective single center experience.
Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- The effect of operator's experience on mechanical thrombectomy outcomes: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Pooled it
- Radiation exposure in transradial versus transfemoral access in endovascular treatment of intracranial aneurysms.European radiology · 2026Article
- Procedural factors associated with successful recanalization in patients with acute ischemic stroke treated with endovascular thrombectomy-a nationwide register-based observational study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Observational
- Learning Curve of Mechanical Thrombectomy: Procedural Efficiency and Clinical Outcomes in Early Operator Experience.Clinical neuroradiology · 2026Article
- Radiation Dose Reduction in Mechanical Thrombectomy: Single Versus Dual-Operator Approach.Tomography (Ann Arbor, Mich.) · 2026Article
- First-in-human application of dynamic fluoroscopic analysis to quantify intersegmental motion in mandibular free flap reconstruction.Scientific reports · 2025Article
- Shorter procedures and less radiation with monopoint aspiration compared to conventional aspiration or stentriever-assisted aspiration for mechanical thrombectomy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Factors affecting radiation dose, radiation exposure time and procedural time in arterial embolization for active hemorrhage.Emergency radiology · 2024Article
- [Detection of ionizing radiation in operating room and hospital areas].Revista medica del Instituto Mexicano del Seguro Social · 2024Article
- Radiation Exposure in Interventional Stroke Treatment : Analysis of the German Neurointerventional Database (DeGIR/DGNR) from 2019 to 2021.Clinical neuroradiology · 2023Article
- Radiation dose and fluoroscopy time of aneurysm coiling in patients with unruptured and ruptured intracranial aneurysms as a function of aneurysm size, location, and patient age.Neuroradiology · 2023Article
- Influence of the interventionist's experience on outcomes of endovascular thrombectomy in acute ischemic stroke: results from the MR CLEAN Registry.Journal of neurointerventional surgery · 2023Article
- Occlusion Type, Number of Recanalization Passages and Dose Program Determine Radiation Dose in Endovascular Stroke Thrombectomy.Clinical neuroradiology · 2022Article
- Cumulative experience improves the procedures of mechanical thrombectomy.BMC neurology · 2022Article
- Monitoring Radiation Doses during Diagnostic and Therapeutic Neurointerventional Procedures: Multicenter Study for Establishment of Reference Levels.Neurointervention · 2021Article
- Impact of interventionalist's experience and gender on radiation dose and procedural time in CT-guided interventions-a retrospective analysis of 4380 cases over 10 years.European radiology · 2021Article
- Radiation exposure in endovascular stroke treatment of acute basilar artery occlusions-a matched-pair analysis.Neuroradiology · 2020Article
- Radiation exposure per thrombectomy attempt in modern endovascular stroke treatment in the anterior circulation.European radiology · 2020Article
- Effect of treatment technique on radiation exposure in mechanical thrombectomy for acute ischaemic stroke: A matched-pair analysis.The neuroradiology journal · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo quantify the influence of interventionalist's experience on procedure time, radiation exposure, and fluoroscopy time during mechanical thrombectomy (MT) in the anterior circulation.
methodsRetrospective analysis of an institutional review board-approved stroke database of a comprehensive stroke center focusing on radiation exposure (as per dose area product in Gy × cm
resultsOverall, 696 patients have been included in this analysis (A, n = 152; B, n = 151; C, n = 393). Procedure times (A, 86 [54-131]; B, 67 [48-103], p value 0.006), fluoroscopy times (A, 39 [25-72]; B, 32 [20-53], p value 0.001) as well as radiation exposure (A, 148.13 [89.58-243.37]; B, 111.60 [70.49-180.57], p value 0.001) were significantly shorter, respectively lower in group B than in group A. Procedure times (C, 59 [36-99]), fluoroscopy times (C, 31 [16-53]), and radiation exposure (C, 113.91 [68.48-182.88]) in group C were also significantly shorter/lower than in group A (all p values < 0.0001), but comparable with group B (p values 0.071, 0.809, and 0.934).
conclusionThis retrospective analysis demonstrates a significant influence of interventionalist's experience on procedure time, fluoroscopy time, and radiation exposure in mechanical thrombectomy in the anterior circulation. KEY POINTS: • There is a significant influence of interventionalist's experience on procedure time, fluoroscopy time, and radiation exposure in mechanical thrombectomy in the anterior circulation. • Interventionalists' learning curve is steepest during the first 25 cases. • These circumstances should be considered when reference levels or guide values are established and in training of physicians performing mechanical thrombectomy to promote optimization of patient doses in the future.
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