Fellowship

Course Contents

.01 Anatomic and physiologic basic knowledge

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Basic knowledge in arterial angiographic anatomy of the brain, spine, spinal cord, and head and neck
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Venous angiographic anatomy of the brain, spine, spinal cord, head and neck
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Collateral circulation
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Dangerous anastomosis
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Cerebral blood flow
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Autoregulation

.02 Technical aspects of Neuro Intervention, including:

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Femoral artery and arterial access and closure
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Guiding Catheter/ Sheath deployement
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Microcatheters and microwires
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Balloons, stents, stent retrievers, embolic protection devices
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Flow divertor stents
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Embolic agents – coils, liquids
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Basic knowledge of various types of Neuroanesthesia used for interventional procedures
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Complications of procedures: prevention, recognition and management

.03 Pharmacologic agents

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Contrast materials
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Provocative testing
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Anticoagulant, antiplatelets and GP2b3a inhibitors
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Thrombolytics
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Anti-vasospasm agents

.04 Tumors of the head, neck, spine, and central nervous system

.05 Revascularization for occlusive vascular diseases

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Arteriopathies
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Atherosclerotic lesions
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Techniques of revascularization: balloon angioplasty, thrombolytics, and stenting (includes extra and intra cranial carotids and vertebral and their branches)

.07 Coagulation cascade

.06Brain and spinal cord arteriovenous malformation, arteriovenous fistulas of the brain, spine, spinal cord, and head and neck vascular malformations; ischemic stroke; and cerebral aneurysms

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Classification
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Clinical presentation
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Natural history
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Epidemiologic data
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Hemodynamic basis
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Indications for treatment
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Contraindications for treatment
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Therapeutic techniques: exposure, participation and supervised hands-on training in performance of diagnostic and therapeautic interventional procedures
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Combined therapies

.08Embolization for epistaxis or other causes of haemorrhagee

.09IPSS

.10Balloon test occlusions

.11Radiation protection and side effects

.12Major trials and Imaging.

.13Clinical assessment including various scales like NIHSS, mRS etc.

ELIGIBILITY CRITERIA & OTHER INFO


DM/DNB Neurology, DM Neuroradiology, MCh/DNB Neurosurgery.

Duration of course:
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2 years.

Breakup of training period:

3 months: Neurovascular anatomy and pathophysiology, Reporting, Neuropharmacology, Pre-op and post-op care.

9 months: Diagnostic cerebral and spinal angiograms

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1 year:

Therapeutic Neuro Interventional procedures.

There will be rotation of 2 to 4 weeks in another training centre during this period.

Eligibility Criteria:
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Centre Eligibility Criteria:

The centre should have full time Neurologist, Neurosurgeon and Neuro Interventionist. It should have dedicated Neuro-ICU, CT, MRI, and Cath lab facility.

Fellow ratio:
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Faculty to Fellow ratio:

One full time faculty for a fellow.

Publications:
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PUBLICATIONS AND PRESENTATIONS:

The fellow should complete at least 2 publications in 2 years in an indexed journal (original article, case series, case report) and should attend 1 national conference per year.

Training
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MINIMUM TRAINING REQUIREMENTS:

The fellow will get to do at least 125 angiograms and 30 intervention cases (assisted or supervised) in his training period of 2 years. Simulator training for skill development will be arranged at least once per year.

EVALUATION:
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Logbook should be maintained of all the procedures and seminars.

Exit exam will be conducted at the end of 2 years (both theory and viva) with one internal examiner (the programme director) and one external examiner. .

SNVI certified
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CERTIFICATION:

The fellow will be awarded a SNVI certified ‘Fellowship in Neurovascular Intervention’ after he completes all the training requirements and passes the exit exam. The certificate will be signed by the respective Programme director and President of SNVI.

about

FNB Neuro Vascular Interventions.

2 Years Full Time Fellowship Conducted by National Board of Examinations Started with the efforts of SNVI Executive Committee in coordination with National Board of Examinations. It is a first formal and one-of-a-kind course Neuro Vascular Interventions open to clinicians (Neurologists and Neurosurgeons). Pan India there are 6 seats available every year across 4 centres. Two seats in Breach Candy Hospital Mumbai and two seats in Pacific Medical College Udaipur. One seat each in KEM Hospital Pune and Narayana Health Bengaluru. Admissions through FET (Fellowship Entrance Test) conducted by National Board of Examinations.

For more details please visit www.nbe.edu.in

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CONTACT INFORMATION