Article ID: 11319
Background and Purpose: In January 2019, radiologic technologists began providing assistance for mechanical thrombectomy (MT) in our hospital. The purpose of this study is to verify the effectiveness of task shifting/sharing by radiologic technologists in MT performed on holidays and at night. Methods: The subjects were 70 patients who underwent MT for occlusion of the internal carotid artery and middle cerebral artery M1 segment on holidays and at night (weekdays 17:15–8:30 the next day) at our hospital between January 2016 and December 2023. Cases were divided into two groups before and after providing assistant services, and backgrounds, number of staff participating in MT, clinical results, and prognosis were compared between the two groups. Results: There were 20 cases (29.0%) before providing assistant services and 50 cases (71.0%) after providing assistant services. Although assistant services were performed in 39 of the 50 cases (78.0%), there were no differences in backgrounds, clinical results, and prognosis between the two groups. Meanwhile, overtime work hours for neurosurgeons have decreased since 2018. Conclusion: Further improvements were considered necessary to promote task shifting/sharing by establishing in-hospital education systems.
