ArticleClinical neuroradiology2021
Training and Supervision of Thrombectomy by Remote Live Streaming Support (RESS) : Randomized Comparison Using Simulated Stroke Interventions.
Article in Clinical neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
26 citing papers in PubMed.
- Education Research: Simulation-Based Interventions in Acute Stroke Care From Symptom Onset to Acute Treatment: A Scoping Review.Neurology. Education · 2025Article
- Society of Vascular and Interventional Neurology (SVIN) Stroke Interventional Laboratory Consensus (SILC) Criteria for Training Standards and Maintenance of Certification in Neurointervention.Stroke (Hoboken, N.J.) · 2025Review
- Feasibility of robotic neuroendovascular surgery.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024Review
- The pioneering past and cutting-edge future of interventional neuroradiology.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024Review
- School of Thrombectomy-A 3-Step Approach to Perform Acute Stroke Treatment with Simulator Training and Virtual Supervision by Remote Streaming Support (RESS).Clinical neuroradiology · 2023Article
- Remote Training of Neurointerventions by Audiovisual Streaming : Experiences from the European ESMINT-EYMINT E-Fellowship Program.Clinical neuroradiology · 2023Article
- Technical considerations and tips for using the Tegus remote proctoring system in elective and emergency cases and in webinars.Journal of neurointerventional surgery · 2022Review
- Augmented reality enhanced tele-proctoring platform to intraoperatively support a neuro-endovascular surgery fellow.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022Article
- Telerobotic neurovascular interventions with magnetic manipulation.Science robotics · 2022Article
- Remote neuro-endovascular consultation using a secure telemedicine system: A feasibility study.Surgical neurology international · 2022Article
- Information Dissemination Model in Rural Live Broadcasting under Blockchain in the Era of Artificial Intelligence.Computational intelligence and neuroscience · 2022Article
- Patient prioritization and management during the COVID-19 pandemic.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021Article
- Remote proctoring for high-risk coronary interventions with mechanical circulatory support during COVID-19 pandemic and beyond.Clinical research in cardiology : official journal of the German Cardiac Society · 2021Article
- [Imaging-based patient selection for mechanical thrombectomy based on time since symptom onset].Der Nervenarzt · 2021Review
- Smart glasses evaluation during the COVID-19 pandemic: First-use on Neurointerventional procedures.Clinical neurology and neurosurgery · 2021Article
- Neurointervention in the 2020s: Where are We Going?Clinical neuroradiology · 2021Article
- Republished: Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic.Journal of neurointerventional surgery · 2021Article
- [Remote proctoring in neuroradiological interventions].Der Nervenarzt · 2021Review
- Enhancing Education to Avoid Complications in Endovascular Treatment of Unruptured Intracranial Aneurysms: A Neurointerventionalist's Perspective.AJNR. American journal of neuroradiology · 2021Article
- Use of Endovascular Simulator in Training of Neurosurgery Residents - A Review and Single Institution Experience.Cureus · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeStroke patients are excluded from expeditious thrombectomy in regions lacking neurointerventional specialists. An audiovisual online streaming system was tested, allowing a neurointerventional specialist located at a neurovascular center to supervise and instruct a thrombectomy performed at a distant hospital without being physically present (remote streaming support [RESS]).
methodsIn total, 36 thrombectomy procedures were performed on a Mentice endovascular simulator by six radiologists not specialized in neurointerventions. Each radiologist was challenged with six different endovascular simulation scenarios under alternating conventional local support (specialist inside the room [LOS]) and RESS, which was performed using an advanced live streaming platform.
resultsBoth support modes led to a median of 2 attempts (interquartile range [IQR] 2.0-2.0 each) until successful recanalization. There was no statistically significant difference in time from first catheter insertion to recanalization between LOS (median 24.9 min, IQR 21.0-31.5 min) and RESS (23.9 min, IQR 21.7-28.7 min, p = 0.89). The percentage of thrombi covered by the stent-retriever and average speed when retrieving the stent-retriever (3.7 mm/s, IQR 3.25-5.35 mm/s vs. 3.6 mm/sec, IQR 2.5-4.7) were similar in both groups. Fluoroscopy time did not differ (19.0 min, IQR 16.9-23.5 min vs. 19.9 min, IQR 15.9-23.5 min) with a trend towards increased median amounts of contrast medium used under RESS (62.9 ml vs. 43.1 ml; p = 0.055).
conclusionThis study confirmed the feasibility of RESS for thrombectomy procedures in a simulated environment. This serves as basis for future studies planned to analyze the effectiveness of RESS in a real-world environment and to test if it improves the learning curve of interventionalists with limited thrombectomy experience in remote areas.
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Registered trials
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