I do not see diagnostic neuro as neurointerventional radiology. When i treat thrombosis in the dural sinuses or angioplasty stenoses there, then that would be neurointerventional radiology.Cece wrote: Of course I am very curious about what you are finding....
You have your neurologist hammer, but what do we send to the budding neurointerventionalist? ;)
I have always performed neuro interventions. I defined the treatment algorithm for penetrating injuries of the internal carotid artery, and external carotid artery. I am comfortable and established in this area.
i certainly would not tell the patient i would no longer care for them.If a patient did not want you imaging their sinuses this way, would you perform the procedure without going into their sinuses?
I would take out my empathy instrument and try to understand the reasons for their refusal. The dural sinuses are pretty tough structures and i havent had any problems or difficulties. If the patient persisted in their refusal, i would probably advise them that i would defer that part of the diagnostic workup but explain to them that obstructions of brain inflow into the neck by dural sinus problems would waste any improvements made by neck veno- or valvuloplasty.
often neurointerventionalists perform their procedures under general anesthesia.Would it be safer to do this if a patient were sedated, so they wouldn't move? Do the neurointerventionalists sedate their patients before working in the sinuses?
for what i am doing, i do not think at all that this is necessary. Perhaps intervention, but not for a 2 minute diagnostic test.