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.
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.
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.
We offer a dynamic and exciting 1-2 year fellowship opportunity in interventional neuroradiology/endovascular neurosurgery.
A period of 12-24 continuous months (dependent on the applicants background training) must be spent in clinical neurointerventional training, during which the trainee has the opportunity to perform all of the following under close supervision: clinical pre-procedural examinations of patients, evaluation of preliminary diagnostic studies, consultation with clinicians as it relates to the care of the patient, diagnostic and therapeutic neurointerventional procedures, generation of procedural reports, and participation in short-term and long-term post-procedural follow-up care, including neuro-intensive care. The continuity of care must be of sufficient duration to ensure that the fellow is familiar with the outcome of all interventional neuroradiology procedures. The fellowship will be tailored to the trainee’s background and experience, as neurosurgeons, radiologist and neurologists are eligible for training in neurointervention.
Fellows should serve as consultants under the supervision of staff neurointerventional practitioners. Direct interactions of trainees with patients must be closely observed to ensure that appropriate standards of care and concern for patient welfare are strictly maintained. Communication, consultation, and coordination of care with the referring clinical staff and clinical services must be maintained and documented with appropriate notes in the medical record.
Upon completion of the full training, fellows will be proficient in the diagnosis and management of cerebrovascular disorders and possess the skills required for independent practice in the field of interventional neuroradiology.
The program must provide adequate opportunity for fellows to participate in and personally perform and analyze a broad spectrum of endovascular procedures. Our philosophy is to train fellows to practice according to evidence-based medicine and fellows are expected to possess core competencies according to CanMEDS guides to deliver optimal heath care. Specific training should be provided in the following areas: