Article Text

Download PDFPDF
Evolution of the species – the neurointerventional surgeon in 2017 and beyond
  1. Lucas Elijovich
  1. Correspondence to Dr Lucas Elijovich, Semmes-Murphey Clinic, Memphis, Tennessee, USA; lelijovich{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

What we call ourselves as physicians matters. It reflects our daily work and outlines both our role among our peers and our responsibility to patients. When the Portuguese neurologist Antonio Egas Moniz’s performed the first cerebral angiograms in 1926, a new species, the cerebral angiographer, was born. We subsequently evolved along three parallel but mostly asynchronous evolutionary lines with pioneers such as Berenstein, Serbenenko, and Djindjian to name a few. Neurointerventional Radiologists, Endovascular Neurosurgeons or Neurologists all contributed and advanced the field. Progressive improvements in imaging techniques and devices, and fundamental advancements in medical knowledge transformed angiographers from diagnosticians to surgeons consistent with the 13th century Anglo-Norman origin of the word: ‘sorgien, cirurgian – person who heals by manual operation on the patient’.1 Over time, these three evolutionary lines recognized they had more similarities than differences and the angiographer was renamed the Neurointerventional Surgeon as reflected by our Society and this Journal. We can be sure that further evolution is inevitable in response to the changing medical environment.

The …

View Full Text


  • Contributors LE drafted and completed this manuscript.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.