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Indian Journal of Neurotrauma 2019; 16(02/03): 094-098
DOI: 10.1055/s-0039-3402710
Original Article
Neurotrauma Society of India

Neurointerventional Training for Neurosurgeons: Past, Present, and Future

Girish Rajpal
1   Department of Interventional Neurology, Max Hospital Patparganj and Vaishali, New Delhi, India
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Publication History

Publication Date:
20 January 2020 (online)

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Abstract

Endovascular therapy as any other specialty has continuously been developed since 1904, but acceptability among neurosurgeons remains low despite being other subspecialties and techniques, like endoscope and for that matter microscope also, being adopted very rapidly. From injecting particles for vascular lesions to balloons for fistulas and arteriovenous malformations and embolizing agents to detachable coils for aneurysm coiling, it has come a long way. Old generations of neurosurgeons used to perform carotid puncture for diagnosing mass lesions, but once CT/MRI came in to the picture, this procedure was stopped and handed over to radiologists. A debate continues among neurosurgeons about the feasibility of aneurysm coiling since international subarachnoid aneurysm trial (ISAT) and doubts about the long-term efficacy of this novel treatment cost a subspecialty. With the recent addition of endovascular treatment of stroke and long-term efficacy of endovascular treatment of aneurysm, there is a lot of debate among clinicians and nonclinicians about who will be the true heir of this sub specialty.

Keywords

cerebral angiogram - DSA - neurosurgeons - neurointervention - training - aneurysm coiling - stroke
 

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