Evidence map›Paper›PMID 42709157›Full record

ArticleClinical neuroradiology2026

Sustainability in Neurointervention-Results from an Exploratory International Cross-sectional Online Survey Among Peers.

Johannes Alex Rolf Pfaff, Johanna Ospel, Katharina Gabriela Pfaff, Katharina Haider, Kazutaka Uchida, Gregor Kasprian, Petra Cimflova, Sami Al Kasab, Razvan Alexandru Radu, Hesham Masoud and 2 more

Abstract read
PubMed Publisher
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Johannes Alex Rolf PfaffDepartment of Neuroradiology, University Hospital Salzburg, Salzburg, Austria. j.pfaff@salk.at.ORCID https://orcid.org/0000-0003-0672-5718
Johanna OspelCumming School of Medicine, Department of Radiology, University of Calgary, Calgary, Canada.
Katharina Gabriela PfaffDepartment of Government, University of Vienna, Vienna, Austria.
Katharina HaiderDepartment of Neuroradiology, University Hospital Salzburg, Salzburg, Austria.
Kazutaka UchidaDepartment of Neurosurgery, Hyogo Medical University, Nishinomiya, Japan.
Gregor KasprianDepartment of Neuroradiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-3858-3347
Petra CimflovaUniversity Institute of Diagnostic and Interventional Neuroradiology, University Hospital of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-8058-383X
Sami Al KasabDepartment of Neurology, Medical University of South Carolina, Charleston, United States.
Razvan Alexandru RaduDepartment of Neurology, Bucharest Emergency University Hospital, Bucharest, Romania.
Hesham MasoudDepartment of Neurology, SUNY Upstate Medical University, Syracuse, United States.
Thanh N NguyenDepartment of Neurology and Radiology, Boston Medical Center, Boston, United States.ORCID https://orcid.org/0000-0002-2810-1685
Charlotte WeylandDepartment of Diagnostic and Interventional Neuroradiology, Universitätsklinikum Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-1374-7854

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNeurointerventional procedures, which are resource-intensive and generate significant waste, remain a major environmental challenge. This international survey aimed to explore the awareness, practices, and barriers surrounding sustainability in neurointervention.

methodsA cross-sectional online survey was conducted among neurointerventional specialists using a convenience sampling approach. The questionnaire focused on sustainability awareness, surgical gown preferences, workplace sustainability initiatives, perceived barriers, and support for sustainability measures.

resultsOne-hundred-thirty-eight respondents completed the survey between October 15th, 2025 and December 15th, 2025 (107 [77.5%] male, with a background in neuroradiology [88/138, 63.8%], neurology [32/138, 23.2%], and neurosurgery [16/138, 11.6%]). Results revealed a gap between personal and professional sustainability actions, with respondents engaging more in sustainable practices in private life than at work. While 78.7% prioritized sustainability privately, only 71.7% did so professionally. Key barriers to implementing sustainability included "limited alternatives", "lack of awareness", and "inadequate financial incentives". However, there was strong support for sustainability initiatives, especially in areas such as sustainable procurement and events organized by professional societies. Notably, despite a preference for reusable surgical gowns (75.9%), disposable gowns dominated current practice (76.7%).

conclusionThis study suggests a gap between neurointerventional specialists' personal sustainability preferences and professional practices, which may be influenced by systemic barriers. While respondents generally expressed support for sustainable initiatives, broader adoption likely requires structural changes at institutional and policy levels.

Indexed as

Healthcare waste managementImplementation barriers and incentivesSurgical gown preferencesSustainable procurementWorkplace sustainability

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.