Neuro Angio Lab Alliance (NALA) Roadmap for Neurovascular Interventions: A Four-Category Model and 6P Protocol

Executive Summary

The landscape of neurovascular medicine stands at a critical juncture. While endovascular therapy has revolutionized stroke treatment, delivering outcomes comparable to cardiac interventions for myocardial infarction, the infrastructure supporting these life-saving procedures remains inconsistent and unstandardized across healthcare systems globally.The Middle East and North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO) presents the Neuro Angio Lab Alliance (NALA) - a comprehensive conceptual framework designed to standardize neurointerventional laboratory operations, staffing, and capabilities across diverse healthcare environments. This document introduces the foundational concepts of NALA, establishing the groundwork for Phase 2: comprehensive evidence-based literature mining and validation of our proposed framework.