To pursue a specific interest more in depth to broaden the training experience elective time is made available to the fellows. This may include: diagnostic radiology, neurosurgery, basic science research, public health programs.
Additional Research/Clinical Elective:
Interventional Neuroradiology / Neurosurgery
Description:
Interventional neuroradiology techniques are becoming a mainstay of treatment of acute stroke and elective treatment of many neurovascular conditions. Vascular Neurology residents interact on a daily basis while on Inpatient service with the INR team, and as an elective for 1-2 weeks, observing and discussing INR management of cerebrovascular diseases.
Goals:
To introduce stroke Fellows to the field of interventional Neuroradiology and Surgical care of stroke patients.
Objectives:
- To further the knowledge of vascular neuroanatomy and be able to discuss hemodynamic flow characteristics in vessels affected by a variety of disease processes. (MK, IPCS)
- To learn acute endovascular stroke treatment and understand decision making in utilizing clot retraction devices. (PC, PBLI, SBP)
- To understand the integration of INR into the acute stroke team (SBP, P)
- To learn techniques and potential complications related to interventional procedures. (PBLI, MK)
- To learn treatment options and evidence-based data for extra- and intracranial atherosclerotic disease, dissection, vasculitis, moyamoya, etc. (MK, SBP)
- To learn treatment options for arteriovenous malformations and aneurysms. (MK, SBP)
- To observe neurosurgical procedures utilized in stroke care, i.e., carotid endarterectomy, extracranial-intracranial bypass, EDAS, craniotomy, etc. (PBLI)
- To observe and learn intraoperative monitoring with Transcranial Doppler ultrasound and EEG in patients undergoing carotid endarterectomy. (PBLI)
Faculty:
- Dr. Sander Connolly
- Dr. Sean Lavine
Telemedicine
Description:
Vascular neurology trainnes will spend 2 weeks on a dedicated telemedicine rotation where acute stroke coverage will be provided under direct supervision on the mobile stroke unit and at Lawrence and Allen Hospital.
Goals:
To learn how to evaluate and treat acute stroke patients remotely via a telemedicine platform.
Objectives:
- Perform a history and physical examination which is logical, reliable and purposeful based upon the patient’s chief complaint. (PC)
- Demonstrate competency at the delivery of intravenous thrombolysis using a tissue and time based approach, including the selection of appropriate patients for intravenous rtPA, and management of patients before and after rtPA administration. (PC, SBP)
- Recognize radiographic signs of early stroke and hemorrhage on CT in the context of emergency evaluation of acute stroke. (MK, PC)