{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:49:20Z","timestamp":1780469360925,"version":"3.54.1"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004102","name":"Laerdal Foundation for Acute Medicine","doi-asserted-by":"publisher","award":["30037"],"award-info":[{"award-number":["30037"]}],"id":[{"id":"10.13039\/501100004102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endovascular thrombectomy (EVT) is a time-sensitive treatment for acute stroke patients. This study was conducted to evaluate the impact of multidisciplinary simulation training on workflow, patient outcomes, and anaesthetic management during EVT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This pre-post interventional study treated 244 stroke patients with EVT (55 pre- and 189 postintervention) between May 2016 and November 2021. A multidisciplinary in situ EVT simulation training programme, including a new EVT protocol with a higher blood pressure target range, was implemented in 2017. We assessed the following variables: (1) Workflow metrics: Process times, revascularisation success, and complications; (2) patient outcomes: Symptomatic intracerebral haemorrhage, functional outcomes at 90 days, and the National Institute of Health Stroke Scale postprocedure; and (3) anaesthetic management: Systolic blood pressure (SBP) thresholds, adherence to protocol, and the conversion rate from conscious sedation to general anaesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The postintervention workflow improved significantly, with a reduction in the median groin puncture-to-reperfusion time from 76 to 53\u2005min (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009= 0.003) and in the door-to-angio suite arrival time from 54 to 35\u2005min (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Other EVT workflow metrics and patient outcomes remained unchanged. Postintervention haemodynamic management significantly changed with increasing median SBP outside protocol thresholds (14 vs. 28.5\u2005min,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.003). A variety of different combinations of anaesthetics were used for conscious sedation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Multidisciplinary simulation training improved EVT workflow times, highlighting its potential to optimise processes. However, the lack of significant improvement in patient outcomes and anaesthetic management suggests the need for a stronger focus on anaesthesia in future training to optimise EVT outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199251336952","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T06:10:53Z","timestamp":1750140653000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of multidisciplinary simulation training on endovascular thrombectomy: Workflow, patient outcomes and anaesthetic management"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3169-2508","authenticated-orcid":false,"given":"Caroline G","family":"Fugelli","sequence":"first","affiliation":[{"name":"Stavanger University Hospital"},{"name":"University of Stavanger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin W","family":"Kurz","sequence":"additional","affiliation":[{"name":"Stavanger University Hospital"},{"name":"University of Bergen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britt S","family":"Hansen","sequence":"additional","affiliation":[{"name":"University of Stavanger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4751-5664","authenticated-orcid":false,"given":"Soffien","family":"Ajmi","sequence":"additional","affiliation":[{"name":"University of Stavanger"},{"name":"Stavanger University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8829-6250","authenticated-orcid":false,"given":"Jan T","family":"Kval\u00f8y","sequence":"additional","affiliation":[{"name":"University of Stavanger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Fjetland","sequence":"additional","affiliation":[{"name":"University of Bergen"},{"name":"Stavanger University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilie","family":"Gr\u00f8tteland","sequence":"additional","affiliation":[{"name":"Stavanger University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snorre","family":"Eikeland","sequence":"additional","affiliation":[{"name":"Stavanger University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2795-8564","authenticated-orcid":false,"given":"Hege","family":"Ersdal","sequence":"additional","affiliation":[{"name":"University of Stavanger"},{"name":"Stavanger University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00252-0"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000196957.55928.ab"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000003981"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2018-009117"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-019-05705-y"},{"key":"e_1_3_3_7_2","doi-asserted-by":"crossref","DOI":"10.1161\/STR.0000000000000211","article-title":"Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association\/American stroke association","volume":"50","author":"Powers WJ","year":"2019","unstructured":"Powers WJ, Rabinstein AA, Ackerson T, et al. 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