FELLOWSHIP IN NEUROVASCULAR INTERVENTION
(Interventional Neurology/ Endovascular Neurosurgery)
The field of Neuro Intervention has now become established as a separate and new subspecialty in the field of minimally invasive therapy involving the central nervous system. Devices specifically approved for treatment of stroke, intracranial cerebral aneurysms, cerebral arteriovenous malformations, head and neck tumors, and traumatic vascular lesions, have all gained FDA approval, with specific indications for therapy in the brain, head and neck, and spinal cord region. These devices include microcatheters, microguidewires, detachable coils, balloons, stents, particulate embolic materials, and other newer embolic agents.
Training programs throughout the United States, Canada, Europe, and Japan have now become established, specifically to train physicians with a background in the neurosciences, particularly in neuroradiology, neurolgy and vascular neurosurgery, in these newer techniques.
Stroke is one of the leading cause of mortality and morbidity. According to World Stroke Association ‘1 in 6’ people will have stroke in their life time. 80% of stroke is ischemic. Till recently the only approved drug for thrombolysis was rTPA. But with recent endovascular trials using stent retriever it has been established as the standard of care for Acute Ischemic Stroke with large vessel occlusion. In India there are hardly any Neuro Interventionist trained to do endovascular treatment for acute ischemic stroke. Like cardiology many neuroscientists should be properly trained to benefit patients and reduce disability and death.