The Section of Cerebrovascular and Endovascular Neurosurgery oversees patient care and postgraduate education in both basic and clinical research pertaining to the microsurgical or endovascular treatment of cerebrovascular disease. Post-graduate fellowships in endovascular and cerebrovascular micro-neurosurgery are offered. Unique to Cleveland Clinic is the integration of the cerebrovascular surgery and the endovascular neurosurgery departments, optimizing patient care. It represents a vital component of a multispecialty cerebrovascular center providing a seamless environment for interaction with diagnostic neuroradiology, neuroanesthesia, neurosurgical intensive care, stroke neurology, and radiation oncology clinical services and the basic neuroscience research group. Since the inception, both surgical and endovascular case volumes have increased steadily.
Endovascular fellows on the unified cerebrovascular and endovascular neurosurgery service will find it both busy and challenging. Specialists in the section provide microsurgical and endovascular treatment for occlusive cerebrovascular disease, cerebral aneurysms, arteriovenous malformation and other extra- and intra-cranial cerebrovascular diseases. In addition to cerebrovascular disorders, additional experience is gained in the management of skull base lesions (pre-operative embolization and test balloon occlusions), as well as functional testing (WADA testing). Moreover, fellows will gain experience in other interventional techniques, including treatment of cranial facial vascular malformation, intra-arterial chemotherapy administration, and percutaneous therapeutic spinal procedures.
Section members view fellowship training education as an extremely important responsibility. The educational objectives include mastery of key interventional skills in cerebrovascular disease including management of patient data to provide unified care plans. In addition, there is an emphasis on real time development of problem-solving skills in the endovascular suite, intensive care unit ward and in the outpatient clinic. Routine interaction with the cerebrovascular surgeons allows the fellows opportunities to participate in a wide variety of microsurgical treatment options for patients with cerebrovascular disease.
The section has active clinical and basic research programs and fellows are strongly encouraged to participate in the cerebrovascular research laboratory under the supervision of the appropriate basic scientist or clinical faculty. Endovascular training is an ACGME-eligible endovascular neurosurgery curriculum.
All applicants must have successfully completed an ACGME-accredited residency program in the United States or RCPSC-accredited residency program in Canada in one of the following specialties: Neurology, Neurosurgery, or Neuroradiology. All International Medical Graduates must have received a currently valid ECFMG certificate in order to apply to our program. The program duration will be two-three years depending on the candidates background. The variation in the program length beyond two years is to accommodate applicants differing residency background.
Interested candidates can apply for a fellowship position by submitting the following documentation:
- Personal Statement
- Letter from Residency Program Director in lieu of Dean’s Letter
- At least two letters of recommendation from physicians whom have supervised you in a clinical setting
- USMLE/COMLEX Score Reports
- Medical School Diploma
- Certified copy of your currently valid ECFMG certificate (applicable for International Medical Graduates only)
- Thomas Masaryk, MD
Director, Neuroendovascular Fellowship Program
- One year dedicated NES/INR experience.
The specialty requires significant clinical training in the logic of cerebrovascular therapeutics, and therefore, the program would include clinical (including NICU) experience, neuroimaging, medical physics, radiation safety; and catheter work in NES/INR.Training in NES/INR will be conducted primarily in the bi-plane angiography suite in the neuroradiology department, at the CCF neurosurgical operating rooms, as well as the investigational angiography suite in the animal vivarium at L10.