Abstract Number: Esoc2026a2054 Remote Neurointerventional Training: Review of International E-Fellowship Program

Abstract Background and aims Telestroke services have proven to be integral to expanding access to acute stroke care, and with time have broadened their impact to neurointervention through educational live procedure broadcasting. In this review, we describe the development and evaluation of an academic center’s telestreamed NeuroEndovascular Surgery e-fellowship through its evaluation by remote observers. Methods Requirements for fellowship attendance included completion of a neurology, neurosurgery, or interventional radiology residency, with prior or current neurointerventional experience. A survey was distributed to assess technical feasibility, educational and training experience, learning outcomes, and program experience. Responses were recorded using a Likert scale and analyzed with descriptive statistics. Results Following distribution of a survey to the 2025-2026 fellowship cohort, we received 15 responses. All participants observed thrombectomies, followed by arteriovenous malformation and/or arteriovenous fistula embolization (80%). Most cases were described as being high or very high in complexity (86%), and the majority of participants described heightened engagement throughout the program (80%). An extensive increase in knowledge was observed in 20% of participants, with the most significant areas of improvement being in procedural knowledge, technical skills, and complication management. Conclusions Remote observerships democratize access to advanced expertise in interventional neurology, and by integrating with local healthcare systems, foster long-term partnerships between high-volume centers and regions with limited access to training. Increasing case exposure for trainee interventionalists goes beyond the individual level, with the broader aim of serving hospitals and communities with an expanded range of quality neurointerventional care. Conflict of interest All authors: Nothing to disclose