Abstract
The paper “Performance and Training Standards for Endovascular Ischemic Stroke Treatment”[1][1] and the accompanying editorial[2][2] both make the claim that this training standard was approved by the NeuroVascular Coalition.[3][3] As Founder, first Co-Chair, creator of the name and the
Highlights
I believe that intra-arterial stroke therapy is effective but that it requires many more well-trained physicians to provide this service to the United States
I agree with Meyers et al[1] and other societies that adequate training is essential for physicians who perform intra-arterial stroke revascularization
I disagree that adequate training can only be acquired in a full neurointerventional fellowship, and I disagree that such a requirement will supply sufficient numbers to adequately staff stroke programs nationwide
Summary
Indicates open access to non-subscribers at www.ajnr.org Most fellows would be fortunate to even see 10 endovascular stroke cases, yet neurointerventional fellowship directors must personally certify all fellows as being the “primary operator” on at least 10 cases. I believe that intra-arterial stroke therapy is effective but that it requires many more well-trained physicians to provide this service to the United States.
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