Evidence map›Paper›PMID 42322515›Full record

ArticleLa Radiologia medica2026

Breaking barriers in stroke care: the role of peripheral interventional radiologists in mechanical thrombectomy.

Marcello Andrea Tipaldi, Nicolo Ubaldi, Mario Beccia, Francesco Siciliano, Marina Cau, Andrea Romano, Edoardo Ronconi, Guido Trasimeni, Alessandro Bozzao, Michele Rossi

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Article in La Radiologia medica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Marcello Andrea TipaldiConsultant Vascular and Interventional Radiologist Department of Radiology, Sant'Andrea University Hospital La Sapienza, Rome, Italy. tipaldi.andrea@gmail.com.ORCID http://orcid.org/0000-0001-8701-2044
Nicolo UbaldiDepartment of Surgical and Medical Sciences and Translational Medicine School of Medicine and Psychology, "Sapienza" - University of Rome, Rome, Italy.
Mario BecciaDepartment of Neuroscience, Mental Health and Sense Organs (NESMOS), Neurology Unit, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Francesco SicilianoDepartment of Surgical and Medical Sciences and Translational Medicine School of Medicine and Psychology, "Sapienza" - University of Rome, Rome, Italy.
Marina CauDepartment of Neuroscience, Mental Health and Sense Organs (NESMOS), Neurology Unit, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Andrea RomanoDepartment of Neuroscience, Mental Health and Sense Organs (NESMOS), Neuroradiology Unit, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Edoardo RonconiConsultant Vascular and Interventional Radiologist Department of Radiology, Sant'Andrea University Hospital La Sapienza, Rome, Italy.
Guido TrasimeniDepartment of Neuroscience, Mental Health and Sense Organs (NESMOS), Neuroradiology Unit, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Alessandro BozzaoDepartment of Neuroscience, Mental Health and Sense Organs (NESMOS), Neuroradiology Unit, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Michele RossiDepartment of Surgical and Medical Sciences and Translational Medicine School of Medicine and Psychology, "Sapienza" - University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the results of a Peripheral Interventional Radiology Unit in the endovascular treatment of acute ischemic stroke (AIS) and describe the training model previously adopted.

methodsA retrospective analysis was conducted on all endovascular thrombectomy (EVT) procedures performed by the interventional radiology unit of a single center, after a dedicated training, between June 2022 and June 2024. Inclusion criteria included AIS patients treated with EVT for anterior circulation LVO with available pre- and post-procedural imaging. Good clinical outcomes (three-month modified Rankin Scale (mRS) 0-2) and successful revascularization (a TIMI score of ≥ 2b) were assessed. Procedural metrics, clinical outcomes, and complication rates were assessed.

resultsAmong 148 thrombectomy procedures, 112 patients met inclusion criteria (mean age 72.8 years; 50% male). Successful recanalization (mTICI 2b-3) was achieved in 89% of cases. The median time from symptom onset to groin puncture was 170 min (IQR 70-280), with a median groin-to-recanalization time of 30 min [IQR 20-45]. Systemic thrombolysis was administered to 59% of patients. Functional independence (mRS ≤ 2) at three months was achieved in 58% of patients. The average NIHSS baseline was 15.3 and at discharge was 7. The three-month mortality rate was 15%. Intracranial hemorrhage after reperfusion therapy was 4.9%. Three patients had major intraprocedural complication. DISCUSSION: Peripheral IRs with vascular expertise can be effectively trained to perform EVT, achieving comparable outcomes to neurointerventional dedicated radiologist. The integration of trained IRs into stroke workflows reduced treatment delays and expanded EVT access.

Indexed as

Endovascular ProceduresIschemic StrokeRadiography, InterventionalRadiologistsRadiology, InterventionalThrombectomyAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesTreatment OutcomeAcute ischemic strokeEndovascular thrombectomyMechanical thrombectomyPeripheral interventional radiologists

Identifiers

PMID42322515

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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.