Neurovascular Intervention

Program Description:

Neurovascular diseases are among important diseases of the nervous system because of their high mortality and morbidity. These diseases have no prior warning signs and suddenly occur in their severe form and affect patients with severe complications from death to long-term neurological disability. Cerebrovascular accident or stroke, as the most prevalent neurology diseases, are often ischemic and can be prevented. Congenital and acquired cerebral arteriovenous malformations are other important diseases in this respect, including cerebral aneurysms and AVMs. These two disorders can be presented with subarachnoid hemorrhage, which is an unfavorable complication and entails death, coma or neurological disabilities. Treatments for cerebrovascular diseases were primarily surgery that requires serious and costly invasive procedures on vessels. These interventions are intracranial or extracranial, and are often associated with prolonged hospitalization in ICU.  Furthermore, intracranial surgeries are especially associated with high neurologic complications and many patients experience major and long-term illness after surgery. Although some patients do not have any other treatment choices rather than surgery, nowadays highly effective and minimally invasive techniques have been introduced based on intravascular interventions, which cause less morbidity, cost less, and lead to faster discharges in addition to the positive treatment outcomes. The main objective of this course is training specialists in the field of neurovascular interventions.

Definition

Neurovascular interventionT₀ 0_T fellowship is a clinical fellowship derived from the subspecialties of neurology, neurosurgery and radiology, whose graduates are involved in prevention, treatment and care of patients with neurovascular diseases, and they will offer their knowledge and skills in education, research and healthcare service to the society.

Objectives:

1.In next 10 years, after establishing this course in IRI and through compliance with educational standards, research production and providing medical services to the people will rank among the top in the region.

2. To train specialists who are up-to-date, competent, responsible, and sensitive to the health of individuals and society in the specialized field of neurovascular intervention0_T for providing the society 0_T with their expertise in the areas of prevention, diagnosis, education, and research.

Expected Competencies at the End of the Program

General Competencies*

Specific Competencies and Skills

At the end of the program learners will be competent in the following Procedural Skills (Diagnostic-Therapeutic Measures):

Diagnostic carotid and vertebrobasilar arteriography

Extracranial carotid stenting

Diagnostic angiography of spinal cord Intraarterial thrombolysis & thrombectomy

Brain Aneurysm endovascular treatment

Endovascular treatment of vascular malformation and fistural of hand and neck and spinal cord and column