{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:53:50Z","timestamp":1777730030508,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"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>Complications following mechanical thrombectomy (MT) are common and impact on clinical outcome. However, unless complication reporting is standardised, there is scope for significant variation in results across multiple centres, potentially undermining both inter and intra unit comparisons and multicentre national quality improvement audit programmes. We therefore sought to achieve consensus amongst interventional neuroradiologists (INRs) in England and Wales for reporting of MT complications as part of national audit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a two-round electronic Delphi survey with initial invitation to forty INR panellists representing each neurointerventional centre in England and Wales with questions covering timing, staffing and mode of data entry, specific MT complications (vessel perforation, intracerebral and subarachnoid haemorrhage, vessel dissection, vasospasm and distal or new territory embolisation) and topics for future content inclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 22 and 21 respondents in round one and two, respectively. Consensus was achieved in methods of data entry and in reporting of specific complications (strongly supportive of symptomatic haemorrhagic complication reporting rather than non-clinically relevant changes with clear definitions of when to report distal, new territory embolic or vasospastic complications or arterial dissection). There was also agreement to include tandem lesion, access site and procedural-related physiological complications in future.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this exercise, we have achieved accordance and developed guidance with an emphasis on reporting of clinically relevant\/outcome impacting post-MT complications, which will allow for a better standardised and more meaningful national audit process going forward.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199251364119","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T07:03:45Z","timestamp":1754550225000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Standardising mechanical thrombectomy complication reporting: A Delphi consensus study to support guidance for national audit"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7744-2833","authenticated-orcid":false,"given":"Alex","family":"Mortimer","sequence":"first","affiliation":[{"name":"Interventional Neuroradiology, North Bristol NHS Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2396-5027","authenticated-orcid":false,"given":"David","family":"Minks","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology, North Bristol NHS Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pervinder","family":"Bhogal","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Young","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology, John Radcliffe Hospital, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Interventional Neuroradiology, Southampton University Hospitals NHS Trust, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand","family":"Sastry","sequence":"additional","affiliation":[{"name":"University Hospital of Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6401-1384","authenticated-orcid":false,"given":"Rose","family":"Bosnell","sequence":"additional","affiliation":[{"name":"Stroke Medicine and Vascular Neurology, North Bristol NHS Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah Beth","family":"McClelland","sequence":"additional","affiliation":[{"name":"Stroke Medicine and Vascular Neurology, North Bristol NHS Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6007-6013","authenticated-orcid":false,"given":"Philip","family":"White","sequence":"additional","affiliation":[{"name":"Interventional and Diagnostic Neuroradiology, Translational and Clinical Research Institute, University of Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2021-017349"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2021.08.002"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.121.034865"},{"key":"e_1_3_2_5_2","article-title":"Outliers from national audits: their analysis and use by the care quality commission in quality assurance and regulation of healthcare services in England","volume":"21","author":"Grote H","year":"2021","unstructured":"Grote H, Toma K, Crosby L, et al. Outliers from national audits: their analysis and use by the care quality commission in quality assurance and regulation of healthcare services in England. Clin Med (Lond) 2021; 21: e511\u2013e516.","journal-title":"Clin Med (Lond)"},{"key":"e_1_3_2_6_2","unstructured":"Sentinal Stroke National Audit Programme. Available at: https:\/\/www.strokeaudit.org (accessed 1 March 2025)."},{"key":"e_1_3_2_7_2","unstructured":"Driving quality improvement in stroke centres. Available at: https:\/\/www.edgehealth.co.uk\/news-insights\/driving-quality-improvement-in-stroke-centres\/ (accessed 1 March 2025)."},{"key":"e_1_3_2_8_2","unstructured":"Sentinal Stroke National Audit Programme National Thrombectomy Report. Available at: www.strokeaudit.org%2FDocuments%2FNational%2FClinical%2FApr2023Mar2024%2FApr2023Mar2024-ThrombectomyReport.aspx&usg=AOvVaw38UoIWUi8leC0LVLHX5663&opi=89978449 (accessed 1 March 2025)."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-9-42"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzn048"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1747493020976681"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1747493017743051"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3656"},{"key":"e_1_3_2_14_2","article-title":"Contrast extravasation post thrombectomy in patients with acute cerebral stroke: a review and recommendations for future studies","volume":"12","author":"Whitney E","year":"2020","unstructured":"Whitney E, Khan YR, Alastra A, et al. Contrast extravasation post thrombectomy in patients with acute cerebral stroke: a review and recommendations for future studies. Cureus 2020; 12: e10616.","journal-title":"Cureus"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0271678X19871253"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2019.02.006"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2021204560"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199231163046"},{"key":"e_1_3_2_19_2","article-title":"Iatrogenic cervical artery dissections during endovascular interventions","author":"Xeros H","unstructured":"Xeros H, Bucak B, Oushy S, et al. Iatrogenic cervical artery dissections during endovascular interventions. Interv Neuroradiol. Epub ahead of print Dec 2024. DOI: https:\/\/doi.org\/10.1177\/15910199241305423.","journal-title":"Interv Neuroradiol"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1287\/mnsc.9.3.458"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1108\/09654280310459112"}],"updated-by":[{"DOI":"10.1177\/15910199261444853","type":"expression_of_concern","label":"Expression of concern","source":"publisher","updated":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T00:00:00Z","timestamp":1777075200000}}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199251364119","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15910199251364119","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199251364119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:57:12Z","timestamp":1777460232000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15910199251364119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,7]]},"references-count":20,"alternative-id":["10.1177\/15910199251364119"],"URL":"https:\/\/doi.org\/10.1177\/15910199251364119","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,7]]},"article-number":"15910199251364119"}}