Fellows in the Cedars-Sinai Endovascular Neurosurgery Fellowship receive continuous and rigorous clinical training and supervision in performing neuroendovascular techniques. The fellowship training highlights correct clinical and imaging diagnostic work-up, physical examination, therapeutic decision-making, complication avoidance and management, perioperative management and interdisciplinary management strategies. These goals are achieved through daily work and teaching rounds, participation in the cases and weekly teaching conferences.
The Endovascular Neurosurgery Fellowship also provides exceptional opportunities for training and experience in research, including clinical research through participation in multicenter randomized clinical trials and direct mentorship from expert clinical trialists; and in basic science research, through elective collaboration with the Cedars-Sinai neuroscience faculty and the Cedars-Sinai neurovascular laboratory, directed by Nestor Gonzalez, MD.
Endovascular Neurosurgery fellows are trained to apply clinical, epidemiologic and cerebrovascular knowledge to the care of patients, demonstrate analytical thinking approach to clinical situations, and teach and support team members. Fellows are expected to develop competence in the following procedures:
Diagnostic (selective and superselective) catheter angiography of the brain, head and neck, spinal cord and spine for both adults and children
Endovascular embolization of intracranial aneurysms using coils with or without stent assistance
Endovascular trapping of intracranial and extracranial aneurysms
Angioplasty and stenting of the extracranial carotid arteries
Transarterial and transvenous embolization of cerebral and spinal arteriovenous malformations and arteriovenous fistulas using superselective injection of liquid and particulate embolic materials
Percutaneous angioplasty and stenting of intracranial cerebral arteries
Temporary occlusion and provocative testing of carotid arteries and permanent occlusion of these vessels in the treatment of carotid blowout, cranial base tumors and giant aneurysm
Selective and superselective intra-arterial provocative testing of eloquent neurologic function
Acute thromboembolic stroke management using superselective mechanical, aspiration and chemical thrombolysis
Chemical and mechanical angioplasty in the treatment of cerebral vasospasm
Intra-arterial and direct puncture embolization of intracranial, head and neck and spine vascular lesions
Transarterial and transvenous embolization of congenital and acquired arteriovenous abnormalities and direct puncture sclerotherapy of low-flow vascular malformations
The Endovascular Neurosurgery Fellowship program covers the training of the fellows in the diagnosis and management of cerebrovascular diseases, including but not limited to:
Acute cerebral stroke
Cerebral vascular malformations
Facial and orbital vascular malformations
Carotid artery stenosis
Spinal vascular malformations
Pediatric vascular disorders
Have Questions or Need Help?
If you have questions or would like to learn more about our fellowship program, please contact: