Challenges in Initiating a Cerebral Aneurysm Coiling Programme in a Small Centre: Our Experience after the First 100 Cases

Abstract

After completing the 100th intracranial aneurysm coiling at our site in 2017, we reflect on the challenges of implementing a new neurointerventional radiology programme in a small tertiary care centre. Our radiology group is the sole provider of cerebral coiling for a population of approximately 500,000, first offering this procedure in March 2013. Given the challenges that we encountered while establishing this programme, we wish to share lessons learned about resource advocacy, early involvement of key stakeholders, and timely programme introduction to help others facing similar needs.