{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:56:08Z","timestamp":1790916968899,"version":"4.1.0"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Access to mechanical thrombectomy (MT) remains limited in many low- and middle-income or resource-limited regions because of gaps in trained personnel, procedural experience, public awareness, and stroke-system readiness. The World Stroke Organization paired simulation-based MT workshops with the Global Stroke Alliance to combine hands-on neurointerventional education with regional advocacy, Ministry of Health engagement, public awareness activities, and stakeholder collaboration. This study evaluated the feasibility, scalability, and self-reported educational impact of MT workshops delivered within this broader WSO\/GSA capacity-building framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive 22-h curriculum was developed, incorporating didactic sessions, hands-on simulations, and complex case studies in collaboration with the Global Stroke Alliance between August 2023 and July 2025. The workshops were designed for neurointerventional physicians and tailored to regional needs. Pre- and post-course assessments measured physician confidence in MT procedures, while a three-month follow-up survey evaluated changes in MT volumes and clinical practice. Data were analyzed using summary statistics, chi-square tests, and McNemar\u2019s tests as appropriate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 112 participating physicians from 24 countries, 81% completed the pre-test and 72% completed the post-test; 67% had paired pre- and post-test responses. The proportion of participants rating themselves as \u201cvery comfortable\u201d increased from 15% pre-workshop to 41% post-workshop (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), with notable improvements in patient selection for MT (15\u201348%,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), procedural access knowledge (15\u201346%,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), thrombectomy technique (9\u201341%,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and avoiding harmful maneuvers (7\u201333%,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). At 3 months, 32 participants completed follow-up, of whom 37.5% self-reported an increase in overall thrombectomy numbers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Simulation-based MT workshops are feasible and scalable across multiple regions and were associated with improved self-reported procedural confidence and early self-reported changes in clinical practice. These findings support structured hands-on training as one component of broader capacity-building efforts, while highlighting the need for objective procedural volume, patient outcome, and registry-based data to determine the effect of such programs on MT access and stroke care delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneur.2026.1866027","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:41:54Z","timestamp":1790916114000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["World Stroke Organization mechanical thrombectomy workshops combined with the Global Stroke Alliance builds regional capacity"],"prefix":"10.3389","volume":"17","author":[{"given":"Violiza","family":"Inoa","sequence":"first","affiliation":[{"name":"Semmes-Murphey Clinic, University of Tennessee Health Science Center","place":["Memphis, TN, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryna","family":"Then","sequence":"additional","affiliation":[{"name":"Neurology Division, Jefferson Einstein Philadelphia Hospital","place":["Philadelphia, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole M.","family":"Cancelliere","sequence":"additional","affiliation":[{"name":"St Michaels\u2019s Hospital","place":["Toronto, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Goyal","sequence":"additional","affiliation":[{"name":"Semmes-Murphey Clinic, University of Tennessee Health Science Center","place":["Memphis, TN, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karelle","family":"Spence","sequence":"additional","affiliation":[{"name":"Jackson North","place":["Miami, FL, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Wells","sequence":"additional","affiliation":[{"name":"Miller School of Medicine, University of Miami","place":["Miami, FL, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Fonnegra","sequence":"additional","affiliation":[{"name":"Shaio Clinic Foundation","place":["Bogota, Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Lopez","sequence":"additional","affiliation":[{"name":"Shaio Clinic Foundation","place":["Bogota, Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine","place":["Baltimore, MD, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Mantilla","sequence":"additional","affiliation":[{"name":"Autonomous University of Bucaramanga","place":["Bucaramanga, Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Eusebio","sequence":"additional","affiliation":[{"name":"Northwell Health","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cedric","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Division of Neurocritical Care, Department of Neurology and Neurosurgery, Emory University School of Medicine","place":["Atlanta, GA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Ribo","sequence":"additional","affiliation":[{"name":"Hospital Vall d\u2019Hebron","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Moreu","sequence":"additional","affiliation":[{"name":"Neurointerventional Unit, Hospital Clinico Universitario San Carlos","place":["Madrid, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serdar","family":"Geyik","sequence":"additional","affiliation":[{"name":"Department of Radiology (S.G.), IAU Stroke Center, Istanbul Aydin University","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ossama","family":"Mansour","sequence":"additional","affiliation":[{"name":"Department of Neurology, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Songul","family":"Senadim Kaytanci","sequence":"additional","affiliation":[{"name":"Department of Neurology, Bak\u0131rk\u00f6y Research and Training Hospital for Psychiatry, Neurology, Neurosurgery","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cagatay","family":"Andi\u00e7","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Ba\u00b8skent University Dr. Turgut Noyan Application and Research Center","place":["Adana, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atilla Ozcan","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Eskisehir Osmangazi University","place":["Eski\u015fehir, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vipul","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Neurointerventional Surgery, Sir H. N. Reliance Foundation Hospital and Research Centre","place":["Mumbai, Maharashtra, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram","family":"Huded","sequence":"additional","affiliation":[{"name":"Department of Interventional Neurology, Mazumdar Shaw Medical Center, Narayana Health Institute of Neuroscience","place":["Bengaluru, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Octavio Marques","family":"Pontes-Neto","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Behavioral Sciences, Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo","place":["Ribeir\u00e3o Preto, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Neurointervention Surgery, Neurointervention Surgery, Institute of Neurosciences, Medanta, The Medicity Gurugram","place":["Gurugram, Haryana, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erdem","family":"Gurkas","sequence":"additional","affiliation":[{"name":"Department of Neurology, Dr Lutfi Kirdar City Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Semih","family":"Giray","sequence":"additional","affiliation":[{"name":"Department of Neurology, Gaziantep University","place":["Gaziantep, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Departments of Neurology, Neurosurgery, and Radiology, Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Emory University School of Medicine","place":["Atlanta, GA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laetitia","family":"de Villiers","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology, Gold Coast University 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Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeyaraj","family":"Pandian","sequence":"additional","affiliation":[{"name":"Department of Neurology, Christian Medical College and Hospital Ludhiana","place":["Ludhiana, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila","family":"Martins","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul","place":["Porto Alegre, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian","family":"Gordon Perue","sequence":"additional","affiliation":[{"name":"Miller School of Medicine, University of Miami","place":["Miami, FL, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1723","DOI":"10.1016\/s0140-6736(16)00163-x","article-title":"Endovascular thrombectomy after large-vessel 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