ArticleFrontiers in neurology2026
World Stroke Organization mechanical thrombectomy workshops combined with the Global Stroke Alliance builds regional capacity.
Article in Frontiers in neurology, 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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Abstract
Introduction: Access to mechanical thrombectomy (MT) remains limited in many low- and middle-income or resource-limited regions because of gaps in trained personnel, procedural experience, public awareness, and stroke-system readiness. The World Stroke Organization paired simulation-based MT workshops with the Global Stroke Alliance to combine hands-on neurointerventional education with regional advocacy, Ministry of Health engagement, public awareness activities, and stakeholder collaboration. This study evaluated the feasibility, scalability, and self-reported educational impact of MT workshops delivered within this broader WSO/GSA capacity-building framework. Methods: A comprehensive 22-h curriculum was developed, incorporating didactic sessions, hands-on simulations, and complex case studies in collaboration with the Global Stroke Alliance between August 2023 and July 2025. The workshops were designed for neurointerventional physicians and tailored to regional needs. Pre- and post-course assessments measured physician confidence in MT procedures, while a three-month follow-up survey evaluated changes in MT volumes and clinical practice. Data were analyzed using summary statistics, chi-square tests, and McNemar's tests as appropriate. Results: Among 112 participating physicians from 24 countries, 81% completed the pre-test and 72% completed the post-test; 67% had paired pre- and post-test responses. The proportion of participants rating themselves as "very comfortable" increased from 15% pre-workshop to 41% post-workshop ( Conclusion: Simulation-based MT workshops are feasible and scalable across multiple regions and were associated with improved self-reported procedural confidence and early self-reported changes in clinical practice. These findings support structured hands-on training as one component of broader capacity-building efforts, while highlighting the need for objective procedural volume, patient outcome, and registry-based data to determine the effect of such programs on MT access and stroke care delivery.
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