University Hospital of Munich, Neurology Department

If a center has a small local stroke unit and they want to offer the service of neuro-thrombectomy they might see only 20-30 cases and it's virtually impossible to keep more than one doctor skilled at this procedure with this low number of cases. If you want to offer this at a 24/7 level then you need to make up for the missing numbers of procedures, find alternatives to keep high enough skills amongst 2, 3, or 4 physicians.