Titre :

Effect of Operator's Experience on Proficiency in Mechanical Thrombectomy: A Multicenter Study

Auteur(s) :

Zhu, F. [Auteur]
Imagerie Adaptative Diagnostique et Interventionnelle [IADI]
Ben Hassen, W. [Auteur]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Bricout, N. [Auteur]
Kerleroux, B. [Auteur]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Janot, K. [Auteur]
Centre Hospitalier Régional Universitaire de Tours [CHRU Tours]
Gory, B. [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Anxionnat, R. [Auteur]
Imagerie Adaptative Diagnostique et Interventionnelle [IADI]
Richard, S. [Auteur]
Université de Lorraine [UL]
Marchal, Adrien [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Blanc, R. [Auteur]
Piotin, M. [Auteur]
Consoli, A. [Auteur]
Trystram, D. [Auteur]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Rodriguez Regent, C. [Auteur]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Desilles, J. P. [Auteur]
Weisenburger-Lile, D. [Auteur]
Escalard, S. [Auteur]
Herbreteau, D. [Auteur]
Université de Tours [UT]
Ifergan, H. [Auteur]
Lima Maldonado, I. [Auteur]
Imaging, Brain & Neuropsychiatry [iBraiN]
Labreuche, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Henon, Hilde [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Naggara, O. [Auteur]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Lapergue, B. [Auteur]
Boulouis, G. [Auteur]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]

Titre de la revue :

Stroke

Nom court de la revue :

Stroke

Numéro :

52

Pagination :

STROKEAHA120031940

Date de publication :

2021-09

ISSN :

1524-4628

Mot(s)-clé(s) en anglais :

thrombectomy
standard of care
reperfusion
ischemic stroke
cerebral infarction

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Background and Purpose: We aimed to evaluate among trained interventional neuroradiologist, whether increasing individual experience was associated with an improvement in mechanical thrombectomy (MT) procedural performance ...
Lire la suite >Background and Purpose: We aimed to evaluate among trained interventional neuroradiologist, whether increasing individual experience was associated with an improvement in mechanical thrombectomy (MT) procedural performance metrics. Methods: Individual MT procedural data from 5 centers of the Endovascular Treatment in Ischemic Stroke registry and 2 additional high-volume stroke centers were pooled. Operator experience was defined for each operator as a continuous variable, cumulating the number of MT procedures performed since January 2015, as MT became standard of care or, if later than this date, since the operator started performing mechanical thrombectomies in autonomy. We tested the associations between operator’s experience and procedural metrics. Results: A total of 4516 procedures were included, performed by 36 operators at 7 distinct centers, with a median of 97.5 endovascular treatment procedures per operator (interquartile range, 57–170.2) over the study period. Higher operator’s experience, analyzed as a continuous variable, was associated with a significantly shorter procedural duration (β estimate, −3.98 [95% CI, −5.1 to −2.8]; P<0.001), along with local anesthesia and M1 occlusion location in multivariable models. Increasing experience was associated with better Thrombolysis in Cerebral Infarction scores (estimate, 1.02 [1–1.04]; P=0.013). Conclusions: In trained interventional neuroradiologists, increasing experience in MT is associated with significantly shorter procedural duration and better reperfusion rates, with a theoretical ceiling effect observed after around 100 procedures. These results may inform future training and practice guidelines to set minimal experience standards before autonomization, and to set-up operators’ recertification processes tailored to individual case volume and prior experience.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T06:14:34Z
2024-03-21T09:02:16Z