Interventional Neuroradiology

Fellowship Program at McMaster

Welcome to the Interventional Neuroradiology Fellowship Program at McMaster University.
Dr. Brian Van Adel, Program Director
Dr. Brian Van Adel, Program Director


The goals and objectives of the HHSc/McMaster University interventional Neuroradiology (INR)/Neurointerventional surgery program is to offer the best minimally invasive treatment and diagnostic imaging for a wide spectrum of conditions affecting the brain, spine, spinal cord and the head & neck region.

Our multidisciplinary team consists of 4 dedicated members (2 neurosurgeons, 1 neuroradiologist, and 1 neurologist) with full fellowship training in INR. We are all dedicated experts that have extensive experience in providing endovascular treatment of intracranial aneurysms, arteriovenous malformations (AVM) and dural arteriovenous fistulas (DAVF). In addition, we manage and treat ischemic stroke, carotid artery stenosis, subarachnoid hemorrhage (SAH), intracranial hemorrhage, epistaxis, cavernomas, developmental venous abnormalities (DVA), moyamoya disease, superficial vascular malformations, spinal vascular malformations and many more conditions. We also provide a full diagnostic cerebral, head and neck, and spinal angiography service.

The Hamilton General Hospital (HGH) site functions as a tertiary center for Neurosciences having specific responsibility in Ontario as the Primary referral center for the Hamilton, Niagara, Haldimand Brant, LHIN and the Waterloo Wellington LHIN and Secondary referral center for the North West LHIN. Additionally, HGH will provide coverage to the remaining LHINs when needed. Our patients have some of the shortest waiting times in the HHSC. In addition, our procedural wait times are minimal. We recently updated our angio-suite with the newest biplane equipment from Phillips.

We collaborate and work closely with our colleagues in radiology, neurosurgery, adult and pediatric neurology, vascular surgery, anesthesiology, ophthalmology, ENT, plastic surgery, orthopedic surgery, critical care medicine and other Medical Specialities and Inpatient units as to ensure safe, ethical and efficient care for this complex patient population. 

We currently offer an INR Fellowship training program. The Fellowship training program in INR is 1-2 years and is currently open to candidates with backgrounds, in neuroradiology, neurology and neurosurgery.

Entry Requirements

The Fellowship Program at McMaster University is held in accordance with the UEMS recommendations for acquiring particular qualifications in endovascular interventional Neuroradiology as well as the WFITN guidelines for training in Interventional Neuroradiology.

  • Radiology
    • 1-2 years of diagnostic neuroradiology training.
  • Neurosurgery
    • After completion of neurosurgery residency or after an open cerebrovascular surgery fellowship or skull base fellowship in neurosurgery.
  • Neurology
    • After neurology residency plus 1-2 years of stroke fellowship or neurocritical care fellowship training.

Goals of Training

Upon completion of the training program, fellows will be proficient in the diagnosis and management of cerebrovascular disorders and possess the skills required for independent practice in the field of neurointerventional radiology.

Length of Training

We offer a dynamic and exciting 1-2 year fellowship opportunity in interventional neuroradiology/endovascular neurosurgery.


Curriculum Highlights

Interventional Neuroradiology (INR) Fellowship Training Overview
General Objectives
Specific Objectives
Didactic training
Clinical Research and Conferences
Contribution to Residency Programs
On-call Expectations and Clinical Duties
Primary On-Call Responsibility
Inpatient/Ward Duties
Neurointerventional Clinics
Neurointerventional Procedures
Neurointerventional/Neurosurgery/Stroke Academic/Teaching Rounds

Supervision & Feedback

  • Quarterly evaluation/feedback with the INR staff physicians and Program director.
  • The fellows case-log book will be reviewed quarterly.
  • Fellows will also receive feedback from Diagnostic imaging staff (nurses and technologists) and from staff in Day Procedures Unit, Post-Anesthetic Recovery Unit, Same day Surgery Unit, 7 South and 7 West inpatient units and ICU.
  • Fellows with have the opportunity to provide feedback for the program and individual Neuro IR staff physicians.
  • Upon completion of the training, Fellows in good academic standing and who have successfully completed the requirements of the specified fellowship will be granted either a one or two year Clinical Fellowship certificate from McMaster University.
  • The Certificate will specify the start and end dates of the fellowship training.
  • The program and/or fellow have the opportunity to terminate the fellowship after the first 3 months

Brian Van Adel

Medicine, Neurology; Surgery
Van Adel, Brian
Associate Professor
Interventional Neuroradiology Program Director

905-521-2100 ext. 46373

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