Nevermind...lol, i just saw the last flame war this subject started...lol...
a decent reply from Bonobo below....
"Please enlighten us more about this "internal revolt" against IVN. I am aware of the reservation by many top stroke physicians against the use of carotid stenting. This is data driven and ongoing studies will continue to change thoughts on this matter. Aneurysms and AVM's, the two conditions that receive the most interventional care are in the domain of neurosurgeons and neurointensivists. Cerebral angiography is giving way to CTA and in some places where it is done properly, to MRA as well. So to a neurologist, interventional procedures don't matter much.
If this is what you mean by "revolt", then yes, there is one. But if you mean to say that neurology does not want to deal with IVN, then while there might be a few against, it seems overall neurology has accepted that some neurologists will want to become interventionalists. Why else have an IVN section in the AAN?
Neurosurgeons have clearly accepted this is a specialty, as neuroradiologists continue to do so. Neurologists only make 20-25% of the fellows currently (though this is rising). This makes sense since except for carotid stenting (which is mostly done by cardiologists and vascular surgeons), there is no intervention that makes a difference for conditions that are typically treated by neurologists. Even carotid stenting is only useful in select circumstances. However, this might all change very soon. If intracranial stenting, intraarterial delivery of thrombolytics or neuroprotective agents, or even other as yet unexplored agents (e.g. stem cells) becomes a proven therapy for stroke, then you better believe that neurologists will embrace the field.
So I stand by what I have said before: if your main interest lies in the interventional treatment of stroke, neurology is by far and away, the best path for this. Others in the field will accept this since you--and not the radiologists or neurosurgeons--have experience giving thrombolytics, managing their antiplatelet and antihypertensive agents afterwards, in the setting of a large amount of growing data. If you want to do interventional for the aneurysms and AVM's, do neurosurgery. If you want to do it for the money, do radiology (okay, if you are interested in head and neck issues also, then radiology is far superior to neurosurgery and neurology)."
If anyone has any info on this subject that would be helpful for interested candidates please post. I just want solid info or journal names etc on where to find some info.
Remember, "Just say no" to flame wars.
too many egos on this site...lol
