Page 57 - Inaugural Lecture Prof Dr Ahmad Sobri Muda

Ahmad Sobri Muda

begun to offer the endovascular treatment of neurovascular disease,
mainly brain aneurysms, brain AVM and dural AVF spinal vascular
malformation. Initial practitioners went overseas for training,
especially to France, Turkey, Korea, and other parts of Europe.
Then a more structured training developed by few institutions in an
attempt to ensure the practitioner has good exposure and provide a
safe treatment to patients. There was still close collaboration with
overseas exposure, especially with centres in Europe. The initial
group leading the practice noted there was a need for a more focused
neurointerventional group. When a practicing neurointerventionist
understands the fundamentals of neurological disease and its clinical
management requiring neurointerventional treatment, he or she can
ensure a good outcome with minimal complication.
The neurointerventional practice is evolving to include more
clinical components within the practice. Patients’ selection for
neurointervention is not just based on diagnosis but weighted with
other clinical problems too. The practice includes having a regular
and established clinic for evaluation, discussion, and follow-up
when the neurointerventional procedure is not just about the
technical procedure but comprises whole clinical aspects from
patient selection to managing complications and follow-up.
Some groups decide on their admission, clinical management in
the ward, and discharge based on clinical needs with support from
other disciplines mainly. Clinical practice relies heavily on clinical
understanding and management. The commitment to increasing
workloads cannot be denied with a deeper focus on neurological,
head and neck, and spine diseases.

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