http://www.ruralneuropractice.com/text.asp?2014/5/1/11/127864





ABSTRACT
Context: Endovascular neurointervention (interventional neuroradiology) is a highly demanding science requiring deep understanding of disease, anatomy, clinical skills and manual dexterity, consequently with a long learning curve and thus posing significant challenges to a physician entering new into the competitive arena. Aim: To evaluate the procedural success, complications and outcome in the first year of independent endovascular neurointervention practice in a suburban hospital. Materials and Methods: Retrospective analysis of prospectively maintained data of all
diagnostic and therapeutic neurointerventional cases performed by the author between the period of January 02, 2012 and December 31, 2012. Results: A total of 61 procedures were performed. The performance success rate of the diagnostic procedures was 100% (38/38) and that of therapeutic procedures was 82.6% (19/23). The periprocedural complication rates were nil and 13%, respectively, for diagnostic and therapeutic procedures. The 3‑month patient outcome for therapeutic procedures was good outcome (Modified Rankin Scale <2 13="" 1="" 3="" 87="" a="" acceptable="" and="" br="" cases="" comparable="" complication="" conclusion:="" dead="" debilitated="" endovascular="" existing="" first="" for="" had="" high="" in="" literature.="" modified="" neurointerventionalist="" of="" outcome="" patient="" poor="" practice="" procedural="" rankin="" rate="" rates="" scale="" success="" the="" to="" trained="" well="" with="" year="">Key words: Acute stroke, aneurysm coiling, cerebral angiography, combined lysis of thrombus in brain ischemia using transcranial ultrasound and systemic tissue plasminogen activator, sonothrombolysis, embolization, endovascular neurointervention