(INTERVENTIONAL NEURORADIOLOGY/ENDOVASCULAR NEUROSURGERY/NEUROINTERVENTIONAL SURGERY/INTERVENTIONAL NEUROLOGY)
Duration: 1.5-years-2 years
Requirements CV + 2 recommendations
Definitions, objectives & Scope of the specialty:
Neurointervention (NI) is a relatively new medical specialty that has been rapidly evolving over the past 2 decades. It uses interventional procedures, radiologic imaging & clinical expertise to diagnose & treat vascular disease of the CNS, Head – Face – Neck & Spine in adults & children.
It is an important & difficult specialty with strong & direct impact on patients with high risks connected to interventional procedures.NI specialist requires to have special training, experience & expertise, so as to independently interpret clinical & investigational findings, perform & conduct NI procedures, consult with patients & communicate with referring physicians.
The training program will include training in the following:
1) Signs & symptoms of disorders amenable to diagnosis treatment by NI techniques.
2) Basic neurological examinations to evaluate patients with neurological disorders.
3) Neuroanatomy, Pathophysiology & natural history of neurovascular disorders, indications & contraindications toNI procedures.
4) Clinical & technical aspects of NI procedures
5) Medical & surgical alternatives
6) Pre & post procedure management of Neurovascular patients. Neurointensive care management in consultation with Neurointensivist.
7) Fundamentals of imaging, radiation physics, biology & protection
8) Newer developments, strengths, weaknesses & risks of NI procedures
9) Exposure, participation (Hands on) in selective intra & extracranial vessel cannulation with microcatheters.
10) Exposure, participation in deployment of detachable coils, embolization with particles, NBCA, Onyx & sclerosants.
11) Exposure, participation treatment/role of intervention of cerebral aneurysms, vascular malformations, cerebral arterial stenosis, cerebral/spinal tumors, vasospasm, cerebral venous thrombosis
12) Detailed knowledge of pharmacology of drugs used in INR procedures including contrast media, anticoagulation, thrombolytics & Antiplatelet agents.
13) Have the skill to consult, and communicate with referring physicians, patients and their relatives
Objective of the training is to give the fellows an organized, comprehensive, supervised & full time education in NI with its wide panorama & scope. Research should be encouraged; time & facilities should be made available during training
Duration: Total – 1.5 years-2 years
Proposed time durations of various sections of 1.5 years course
Proposed time durations of various sections of 2 years course
Institute: having in-house Neurosurgery, Neurology & INR, with inpatient hospital beds with suitably equipped INR suite, ICU, modern imaging (CT, MR).
(A training program is based on a pre-organized network of accredited institutions/departments coordinated by the program director when rotation periods in these institutions/departments are necessary. These rotations should be organized in such a way as to give trainees guaranteed training according to the curriculum)
The trainee will be provided practice based learning & improvement, with
Trainee is expected to maintain a detailed logbook for the duration. This should be certified at the end of the training.
Required exposure in Two year course-
Detailed case work (Neurointerventional) should include:
The name of the training centres shall be updated soon.