Rinsho Shinkeigaku (Clinical Neurology)

Super Expert Session 01

Neurologist and emergency neuroendovascular revascularization
-training programs for endovascular procedures-

Keisuke Imai, M.D.1), Masashi Hamanaka, M.D.1), Takehiro Yamada, M.D.1), Hidekazu Yamazaki, M.D.1), Atsushi Yamamoto, M.D.1), Kazuma Tsuto, M.D.1), Tetsuro Takegami, M.D., Ph.D.2), Kunihiko Umezawa, M.D., Ph.D.3), Eito Ikeda, M.D., Ph.D.2) and Toshiki Mizuno, M.D., Ph.D.4)

1)Department of Neurology and Stroke Treatment, Kyoto First Red Cross Hospital
2)Department of Emergency Medicine, Kyoto First Red Cross Hospital
3)Department of Neurosurgery, Kyoto First Red Cross Hospital
4)Department of Neurology, Kyoto Prefectural University of Medicine

Emergency neuroendovascular revascularization is a reperfusion therapy for acute stroke. The operator for this therapy has to obtain a license as a specialist in endovascular procedures. For neurologists wishing to acquire this license, there are two kinds of training programs: full-time training and concurrent training. Full-time training was chosen by the first author of this review, while concurrent training will be performed by staff in the author's department. The advantage of full-time training is the acquisition of a lot of experience of various diseases that are treated with endovascular procedures and managed in the periprocedural period. However, full-time training has the disadvantages of a requirement to discontinue medical care of neurological diseases except for stroke and employment at a remote institution. The advantages and disadvantages of concurrent training are the reverse of those of full-time training. Neither training system can succeed without cooperation from Departments of Neurology in neighboring universities and the institutional Department of Neurosurgery. It is particularly important for each neurologist to establish a goal of becoming an operator for recanalization therapy alone or for all fields of endovascular procedures because training will differ for attainment of each operator's goal.
Full Text of this Article in Japanese PDF (516K)

(CLINICA NEUROL, 54: 1203|1206, 2014)
key words: neurologist, acute ischemic stroke, reperfusion therapy, endovascular procedure, training program

(Received: 23-May-14)