Mayo Clinic's campus in Jacksonville, Florida, offers a premier fellowship program for neuroendovascular training. The unique Endovascular Surgical Neuroradiology Fellowship offers broad exposure to cerebrovascular disorders along with a state-of-the-art management approach in a multidisciplinary environment.

The fellowship is designed as a two-year training experience. In special circumstances, a one-year position may be considered.

Mayo Clinic has a broad national and international referral base for complex cranial and spinal vascular disorders, such as aneurysms, arteriovenous malformations (AVMs), arteriovenous fistulas (AVFs), cavernous malformations, and occlusive cerebrovascular disorders. The program has evolved into one of the country's busiest multidisciplinary cerebrovascular surgery practices, managing patients in a fully integrated way and using modern tools for everything from endovascular to microsurgical techniques.

The goals of the Endovascular Surgical Neuroradiology Fellowship are to:

• Develop competence and proficiency in the evaluation, management and treatment of cerebrovascular disorders, including:
  • Cerebral aneurysms
  • Subarachnoid hemorrhage
  • Acute stroke
  • Arteriovenous malformations (AVMs)
  • Arteriovenous fistulas (AVFs)
  • Occlusive cerebrovascular disorders
  • Moyamoya disease
  • Vasculitis and other rare disorders
• Focus on developing the fellow's technical ability to use advanced neuroendovascular techniques and become proficient in endovascular treatment modalities and devices, with a primary focus on patient safety.
• Focus on the management of complications and learning bailout techniques. Particular focus is centered on safety and the avoidance and management of complications; the primary purpose is to ensure the fellow's readiness and future success as a neuroendovascular specialist in his or her own practice.
• Develop and nurture teaching and supervisory skills that can be applied when teaching co-workers and residents.

Upon completion of the program, the graduating fellow is adequately trained in all current neuroendovascular interventions.

Program history

The Endovascular Surgical Neuroradiology Fellowship at Mayo Clinic's campus in Jacksonville, Florida, was established in 2009, beginning with one fellow a year. The fellowship increased to two fellows at different levels of training, with two fellows graduating at the same time in June 2014.

With the growth of the residency training programs and the saturation of the national market with neuroendovascular interventionalists, the number of fellows was reduced once again to one fellow a year. Going forward, it is anticipated that one fellow, either junior or senior, will complete this program annually.