Signed in as:
filler@godaddy.com
NALA-Angiosuit Frequently Asked Questions
Please reach us at if you cannot find an answer to your question.
Large Vessel Occlusions are blockages in the larger arteries of the brain, which can lead to significant areas of the brain being deprived of blood and oxygen. LVOs are significant because they are associated with more severe strokes, leading to higher morbidity and mortality rates.
The criteria aim to improve stroke care by providing a standardized operational blueprint for stroke interventional laboratories. This standardization is expected to facilitate better outcomes for stroke patients by promoting timely, safe, and effective stroke interventions.
The 6P Management Approach is a comprehensive framework designed to ensure that stroke interventional laboratories are equipped with the necessary resources and procedures to deliver optimal stroke care. It covers all aspects from manpower to machinery, ensuring that labs are prepared to handle stroke interventions effectively.
The 6P Management Approach refers to seven key areas outlined by the NALA Criteria for the operation of a stroke interventional laboratory:
- Personnel: Expert training and continuous education for teams involved in neurointerventional care.
- Procedures: Robust protocols and workflows to ensure safe, timely, and effective interventions.
- Protocol: Standardized guidelines promoting consistency, compliance, and top-tier care delivery.
- Performance: Ongoing quality improvement through outcome monitoring and benchmarking.Metrics (Volume): Credentialing criteria for facilities and stroke interventionalists.
- Preparedness: Comprehensive complication management and safety measures for optimal patient outcomes.
- Progress: Adopting the latest technology and innovations to advance neurointerventional care.
The criteria aim to improve stroke care by providing a standardized operational blueprint for Neuro interventional laboratories. This standardization is expected to facilitate better outcomes for stroke patients by promoting timely, safe, and effective stroke interventions.
The development of the NALA Criteria is supported by evidence from recent landmark trials that have demonstrated the safety and efficacy of endovascular therapy for AIS due to LVOs. These trials have highlighted the need for a systematic approach to stroke care similar to the care provided for heart attacks.
The primary beneficiaries of the NALA Criteria are patients suffering from AIS due to LVOs. However, stroke care teams, including medical staff and administrative personnel in stroke centers, also benefit from the clear guidelines that facilitate a unified approach to stroke intervention.
The criteria emphasize the importance of standardized protocols and methods to optimize workflow, enabling rapid triage, diagnosis, and treatment of stroke patients. Quick response times are crucial for successful outcomes in stroke care.
The criteria recommend specific benchmarks for quality assurance and safety, including volume metrics for credentialing, quality metrics for performance assessment, and safety metrics to ensure radiation and procedural risks are minimized.
Standardization is needed to ensure that stroke care is uniformly effective and safe across different institutions. With the rise in Neuro intervention procedures, it is crucial to have a consensus on the operation and quality of interventional labs to improve patient outcomes.
The criteria emphasize that the tiered system of stroke centers and interventional labs should be established and operated with the goal of delivering evidence-based, resource-efficient measures to improve patient outcomes. This includes optimizing the systems of stroke operations globally.
The criteria are intended to complement and enhance existing Neurointervention and stroke systems of care by providing a standardized approach to operating interventional laboratories, which are a critical component of comprehensive stroke care.
NALA-Program Frequently Asked Questions
Please reach us at if you cannot find an answer to your question.
A: The unmet need for qualified neurointerventionalists, particularly in low- and middle-income countries.
A: The program offers four levels of training: Level I (Stroke Intervention), Level II (NI), Level III (Specialized NI), and Level IV (High Level of Expertise). (MENA-SINO fellowship program)
A: Core competencies include basic neuroscience, clinical knowledge, clinical neuroimaging, laboratory ancillary testing, procedural skills, and cognitive and behavioral skills.
A: Trainees are evaluated through a combination of case logs, program director evaluations, and a final examination.
A: The training program can be located at a single institution or across a network of institutions.
A: Program requirements include a minimum case load, faculty to trainee ratio, and access to educational resources.
A: A minimum of 250 procedures for Level II Certification in NI.
A: The site of training should be either a single institution/center or a network of institutions/departments..
A: Leadership by the director / co-directors with Level IV certification, Adequate caseload with at least 100 annual cases, Two active full-time faculty with preferentially 1:1 faculty to trainee ratio.
A: Program director should be a senior neurointerventionalist who is Level IV NALA-certified, Faculty should be actively involved in CME or CPDA.