背景:今天,血管内治疗(EVT)是急性大血管闭塞引起的中风的首选治疗方法,与之前的溶栓无关。这需要快速,协调的多专业协作。目前,在大多数国家,具有EVT专业知识的医师和中心数量有限.因此,只有一小部分符合条件的患者接受了这种潜在的挽救生命的治疗,通常是在严重延误之后。因此,对足够数量的医师和中心进行急性卒中干预培训的需求尚未得到满足,以便能够广泛和及时地获得EVT.
目标:为能力提供多专业的培训指南,急性大血管闭塞卒中EVT中心和医师的认证和认证。
方法:世界介入卒中治疗联合会(WIST)由血管内卒中治疗领域的专家组成。这个跨学科工作组为操作员培训制定了能力-而不是基于时间-指导方针,考虑到受训者以前的技能和经验。分析并纳入了大多数单一专业组织的现有培训概念。
结果:WIST建立了一种个性化的方法来获取临床知识和程序技能,以满足EVT各个学科和卒中中心的介入医师认证的能力要求。WIST指南鼓励使用创新的培训方法来获取技能,例如结构化的监督式高保真模拟和人类灌注尸体模型的程序性能。
结论:WIST多专业指南概述了医生和中心进行安全有效EVT的能力和质量标准。强调了质量控制和质量保证的作用。
结论:世界介入治疗中风联合会(WIST)建立了一种个性化的方法来获取临床知识和程序技能,以满足血管内治疗(EVT)中各个学科和中风中心的介入医师认证的能力要求。WIST指南鼓励使用创新的培训方法来获取技能,例如结构化的监督式高保真模拟和人类灌注尸体模型的程序性能。WIST多专业指南概述了医师和中心执行安全有效EVT的能力和质量标准。强调了质量控制和质量保证的作用。
■WIST2023指南在欧洲同时发布(AdvIntervCardiol2023)。
Today, endovascular treatment (EVT) is the therapy of choice for strokes due to acute large vessel occlusion, irrespective of prior thrombolysis. This necessitates fast, coordinated multi-specialty collaboration. Currently, in most countries, the number of physicians and centres with expertise in EVT is limited. Thus, only a small proportion of eligible patients receive this potentially life-saving therapy, often after significant delays. Hence, there is an unmet need to train a sufficient number of physicians and centres in acute stroke intervention in order to allow widespread and timely access to EVT.
To provide multi-specialty training
guidelines for competency, accreditation and certification of centres and physicians in EVT for acute large vessel occlusion strokes.
The World Federation for Interventional Stroke Treatment (WIST) consists of experts in the field of endovascular stroke treatment. This interdisciplinary working group developed competency - rather than time-based - guidelines for operator training, taking into consideration trainees\' previous skillsets and experience. Existing training concepts from mostly single specialty organizations were analysed and incorporated.
The WIST establishes an individualized approach to acquiring clinical knowledge and procedural skills to meet the competency requirements for certification of interventionalists of various disciplines and stroke centres in EVT. WIST
guidelines encourage acquisition of skills using innovative training methods such as structured supervised high-fidelity simulation and procedural performance on human perfused cadaveric models.
WIST multispecialty
guidelines outline competency and quality standards for physicians and centres to perform safe and effective EVT. The role of quality control and quality assurance is highlighted.
The World Federation for Interventional Stroke Treatment (WIST) establishes an individualized approach to acquiring clinical knowledge and procedural skills to meet the competency requirements for certification of interventionalists of various disciplines and stroke centres in endovascular treatment (EVT). WIST
guidelines encourage acquisition of skills using innovative training methods such as structured supervised high-fidelity simulation and procedural performance on human perfused cadaveric models. WIST multispecialty guidelines outline competency and quality standards for physicians and centers to perform safe and effective EVT. The role of quality control and quality assurance is highlighted.
The WIST 2023
Guidelines are published simultaneously in Europe (Adv Interv Cardiol 2023).