title: Endovascular neurointervention success and complication rates in the first year of independent practice in a suburban hospital setup.
abstract: BACKGROUND
  Endovascular neurointervention (interventional neuroradiology) is a highly demanding science requiring deep understanding of disease, anatomy, clinical skills and manual dexterity, consequently with a long learning curve and thus posing significant challenges to a physician entering new into the competitive arena.
  
  
  OBJECTIVE
  To evaluate the procedural success, complications and outcome in the first year of independent endovascular neurointervention practice in a suburban hospital.
  
  
  METHODS
  Retrospective analysis of prospectively maintained data of all diagnostic and therapeutic neurointerventional cases performed by the author between the period of January 02, 2012 and December 31, 2012.
  
  
  RESULTS
  A total of 61 procedures were performed. The performance success rate of the diagnostic procedures was 100% (38/38) and that of therapeutic procedures was 82.6% (19/23). The periprocedural complication rates were nil and 13%, respectively, for diagnostic and therapeutic procedures. The 3-month patient outcome for therapeutic procedures was good outcome (Modified Rankin Scale <2) in 87% cases (20/23), and poor outcome in 13% (2 dead and 1 debilitated with Modified Rankin Scale of 3).
  
  
  CONCLUSIONS
  For a well-trained endovascular neurointerventionalist, the first year of practice had high procedural success rate and acceptable complication with patient outcome rates comparable to the existing literature.
authors.affiliation: Department of Radiodiagnosis, All India Institute of Medical Sciences, Patna, Bihar, India.
authors.forename: Subhash
authors.initials: S
authors.lastname: Kumar
keywords: Acute stroke; aneurysm coiling; cerebral angiography; combined lysis of thrombus in brain ischemia using transcranial ultrasound and systemic tissue plasminogen activator; embolization; endovascular neurointervention; sonothrombolysis
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