Standards & Guidelines

IR PROCEDURE BLEEDING RISK GUIDANCE

The British Society of Interventional Radiology and The British Society for Haematology 

Current status of the credential “mechanical thrombectomy for acute ischaemic stroke” sponsored by the Royal College of Radiologists. What factors are preventing approval of training for non-radiologists to perform MT in the UK?

R.Lenthall, R.Crossley, A.Clifton, P.Flynn, T.Goddard, N.McConachie, A.Mortimer, H.Nejadhamzeeigilani, A.Rennie, H.Stockley, P.White, on behalf of theUK Neurointerventional Group (UKNG)

The Credential INR (Acute Stroke) sponsored by the Royal College of Radiologists: not as simple as it seemed. What factors are preventing approval of training for non-radiologists to perform MT in the UK (and will further delay the establishment of comprehensive interventional services for acute ischaemic and haemorrhagic stroke)?

R Lenthall, P White on behalf of the UK Neurointerventional Group (UKNG) 11/03/2022

Intensive Care guidance for the management of vaccine induced immune-thrombocytopenia and thrombosis (VITT)

UKNG Guidance Document for Paediatric Mechanical Thrombectomy

Click here for the guidance document

Revised Mechanical thrombectomy for ischaemic stroke RCR Guidelines on Training of interventional radiologists

Update September 2020

With regard to a consultant interventional radiologist training to provide a mechanical thrombectomy (MT) service, the RCR, the British Society of Interventional Radiology (BSIR), the British Society of Neuroradiologists (BSNR) and UK Neurointerventional Group (UKNG) continue to support the supplementary agreement that was published in 2017 and would advise that the following high-level requirements are in-place for any local interventional radiology (IR) training arrangement:

See link below for further details.

https://www.rcr.ac.uk/clinical-radiology/being-consultant/mechanical-thrombectomy-ischaemic-stroke

ESO EMINT MT Guidelines

Mechanical thrombectomy (MT) has become the cornerstone of acute ischemic stroke management in patients with large vessel occlusion (LVO). The aim of this guideline document is to assist physicians in their clinical decisions with regard to MT.

Final Thrombectomy Standards

Standards for providing safe acute ischaemic stroke thrombectomy services

Multi society training standard

Training Guidelines for Endovascular Ischemic Stroke Intervention:  An International multi-society consensus document.

INR Training charter UEMS

This document sets out standards for training in Interventional Neuroradiology (INR) in Europe.

Training Guidance for MT

Guidance for practitioners seeking training to participate in an acute ischaemic stroke thrombectomy service in the UK: a response to level-1 evidence of the benefit of mechanical thrombectomy for patients with acute ischaemic stroke and proven large  vessel occlusion.

PISTE JNNP

Objective The Pragmatic Ischaemic Thrombectomy Evaluation (PISTE) trial was a multicentre, randomised, controlled clinical trial comparing intravenous thrombolysis (IVT) alone with IVT and adjunctive intra- arterial mechanical thrombectomy (MT) in patients who had acute ischaemic stroke with large artery occlusive anterior circulation stroke confirmed on CT angiography (CTA).