Shchehlov Dmytro, Fiehler Jens, Vyval Mykola, Kyselyova Anna A
Research and Practical Centre for Endovascular Neuroradiology, the NAMS of Ukraine, Kyiv, Ukraine.
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Interv Neuroradiol. 2023 Aug 9:15910199231193912. doi: 10.1177/15910199231193912.
Interventional neuroradiology (INR) has not yet received official certification as a surgical subspecialty in Ukraine. Consequently, there is uncertainty surrounding the availability of a neurosurgical internship and a structured INR training program to provide neuroendovascular procedures. In recent years, mechanical thrombectomy has become the standard of care for acute ischemic stroke caused by large vessel occlusion, as supported by evidence-based guidelines. This emphasizes the need for INR specialists, which far exceeds the current supply. Although stroke centres with interventional neuroradiological facilities have been established to address this shortage in Ukraine, they lack highly skilled staff. Following the relaxation of COVID-19 migration restrictions, the Ukrainian medical system faced new limitations due to ongoing wartime conditions. In such circumstances, international cooperation becomes crucial to ensuring the safe and effective implementation of new technologies into routine medical practice. We successfully integrated teleproctoring into our hands-on course and found it to be an effective and promising approach, especially considering the uncertainty of the future and the presence of wartime migration restrictions in Ukraine. Teleproctoring hands-on course has the potential to provide young specialists with experienced mentors and valuable initial experience and can serve as a valuable adjunct for the improvement of surgeons confidence.
介入神经放射学（INR）在乌克兰尚未获得作为外科学亚专业的官方认证。因此，关于神经外科实习机会以及提供神经血管内介入手术的结构化INR培训项目的可用性存在不确定性。近年来，在循证指南的支持下，机械取栓术已成为治疗由大血管闭塞引起的急性缺血性卒中的标准治疗方法。这凸显了对INR专家的需求，而目前的供应远远无法满足这一需求。尽管乌克兰已设立了配备介入神经放射学设施的卒中中心来应对这一短缺，但这些中心缺乏高技能的工作人员。在新冠疫情迁移限制放宽后，乌克兰医疗系统因持续的战时状况面临新的限制。在这种情况下，国际合作对于确保将新技术安全有效地应用于常规医疗实践至关重要。我们成功地将远程监考整合到我们的实践课程中，发现这是一种有效且有前景的方法，特别是考虑到未来的不确定性以及乌克兰战时迁移限制的存在。远程监考实践课程有潜力为年轻专家提供经验丰富的导师和宝贵的初步经验，并可作为提高外科医生信心的宝贵辅助手段。
