Evidence map›Paper›PMID 41608732›Full record

ArticleStroke (Hoboken, N.J.)2025

Innovations in Thrombectomy Training: A Systematic Review and Expert Recommendations from the Society of Vascular and Interventional Neurology-Mission Thrombectomy Initiative.

Fawaz Al-Mufti, Mohamed Elfil, Abdallah Abbas, Haneen Sabet, Hazem S Ghaith, Ariel Sacknovitz, Ankita Jain, Victor Urrutia, Nabeel Herial, Gabor Toth and 24 more

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors.

Fawaz Al-MuftiDepartment of Neurosurgery Westchester Medical Center Valhalla NY.ORCID https://orcid.org/0000-0003-4461-7005
Mohamed ElfilDepartment of Neurology University of Miami/Jackson Health System Miami FL.ORCID https://orcid.org/0000-0002-1125-2946
Abdallah AbbasFaculty of Medicine Al-Azhar University Damietta Egypt.ORCID https://orcid.org/0000-0001-5101-5972
Haneen SabetFaculty of Medicine South Valley University Qena Egypt.
Hazem S GhaithFaculty of Medicine Al-Azhar University Cairo Egypt.ORCID https://orcid.org/0000-0002-9519-851X
Ariel SacknovitzDepartment of Neurosurgery Westchester Medical Center Valhalla NY.ORCID https://orcid.org/0009-0008-6236-1190
Ankita JainDepartment of Neurosurgery Westchester Medical Center Valhalla NY.
Victor UrrutiaDepartment of Neurology Johns Hopkins University Baltimore MD.ORCID https://orcid.org/0000-0002-4995-6949
Nabeel HerialDepartment of Neurosurgery Thomas Jefferson University Hospital Philadelphia PA.ORCID https://orcid.org/0000-0002-5790-783X
Gabor TothCerebrovascular Center Neurological Institute Cleveland Clinic Cleveland OH.
Mohamad El-GhanemDepartment of Clinical Sciences HCA Houston - HCA Northwest Medical Center University of Houston Houston TX.
Krishna AmuluruGoodman Campbell Brain and Spine Ascension St. Vincent Medical Center Indianapolis IN.ORCID https://orcid.org/0000-0002-8859-8574
Viktor C SzederUniversity of California Los Angeles Los Angeles CA.ORCID https://orcid.org/0000-0003-0703-8258
Jonathan CroweDepartment of Neurology University of Virginia (UVA) University Hospital Charlottesville VA.
Karol BudohoskiDepartment of Neurosurgery University of Utah Health Salt Lake City UT.ORCID https://orcid.org/0000-0003-2866-1380
Zurab NadareishviliDepartment of Neurology and Rehabilitation VHC Health Arlington VA.ORCID https://orcid.org/0000-0002-5526-1342
Kaustubh LimayeDepartment of Neurology Indiana University Bloomington IN.ORCID https://orcid.org/0000-0002-7280-7407
Fazeel SiddiquiDepartment of Neuroscience University of Michigan Health West Wyoming MI.ORCID https://orcid.org/0000-0001-7496-5567
Boris PabonDepartment of Neurosurgery Universidad De Antioquia Medellin Colombia.ORCID https://orcid.org/0000-0001-8362-4991
Ossama Yassin MansourFaculty of Medicine Stroke and Neurointervention Center Alexandria University Alexandria Egypt.
Atilla Ozcan OzdemirDepartment of Neurology Eskişehir Osmangazi University Eskişehir Türkiye.ORCID https://orcid.org/0000-0003-4028-1751
Houman KhosravaniDepartment of Medicine University of Toronto Toronto Canada.
Hamza ShaikhCooper Medical School of Rowan University Camden NJ.
Nishita SinghDepartment of Clinical Neurosciences University of Calgary Calgary Canada.
Hesham MasoudNeurology State University of New York Syracuse NY.
Sushanth R AroorDepartment of Neurology University of Texas Health Science Center at Houston Houston USA.
Shashvat DesaiDepartment of Neurosurgery Barrow Neurological Institute Phoenix AZ.
Santiago Ortega-GutierrezDepartment of Neurology, Neurosurgery and Radiology University of Iowa Iowa City IA.
Fredrick EcholsSociety of Vascular and Interventional Neurology, Mission Thrombectomy St. Louis Park MN.
Thanh N NguyenDepartment of Neurology Boston Medical Center Boston University Chobanian & Avedisian School of Medicine Boston MA.
Pankajavalli RamakrishnanDepartment of Neurosurgery Westchester Medical Center Valhalla NY.
Priyank KhandelwalDepartment of Neurosurgery Rutgers New Jersey Medical School Newark NJ.
Dileep R YavagalDepartment of Neurology University of Miami/Jackson Health System Miami FL.
Kaiz AsifDepartment of Neurology University of Illinois Chicago IL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMechanical thrombectomy is a critical intervention for patients with acute ischemic stroke with large vessel occlusion. However, significant barriers remain in its widespread implementation, particularly in low- to middle-income countries, including a shortage of trained physicians and limited access to advanced medical technologies. This systematic review and meta-analysis aimed to comprehensively evaluate current mechanical thrombectomy training methodologies and assess their effectiveness in improving procedural skills among neurointerventional teams.

methodsWe conducted a systematic review following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, searching PubMed, Scopus, and Web of Science. Eight studies were included, with 3 studies eligible for meta-analysis. We assessed training approaches, participant demographics, and procedural outcomes using the Risk of Bias in Non-randomized Studies of Interventions tool and performed statistical analysis using OpenMetaAnalyst software.

resultsVarious training modalities, including virtual reality simulations and hands-on workshops, consistently demonstrated positive effects on procedural skills and professional confidence, demonstrating significant improvements across multiple metrics. Our systematic review and meta-analysis revealed statistically significant reductions in total procedure time (average decrease of 17.84 minutes, 95% CI: [-22.19 to -13.48]), number of handling errors (decreased by 6.34 errors, 95% CI: [-13.16 to 0.48]), contrast volume (decreased by 27.35 mL, 95% CI: [-45.11 to -9.60]), and fluoroscopy time (reduced by 8.07 minutes, 95% CI: [-10.71 to -5.44]). Participants showed increased procedural steps completed, with an average increase of 6.52 steps (95% CI: [3.99-9.05]).

conclusionStructured, simulation-based mechanical thrombectomy training programs can significantly enhance procedural skills, clinical decision-making, and professional confidence among neurointerventional teams, potentially improving stroke care.

Indexed as

mission thrombectomystrokethrombectomytrainingvirtual reality

Identifiers

PMID41608732
PMCPMC12697599

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.