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Current cycle: ECMINT 4

Dates of ECMINT 4 – the fourth cycle:

  • Course 1: 1 May – 24 June 2021 (online)
  • Course 2: 13 – 17 December 2021 (online)
  • NEXT: Course 3: 20 – 24 June 2022 (hybrid)
  • NEXT: Course 4: 12 – 16 December 2022

The registration fee for each course is £775 (onsite):

  • ECMINT 4.x Course Fee
  • Accommodation in college
  • All meals in the college dining hall during the course

If you are interested in registering for ECMINT 4.x, please send please send an email with a short, one-page CV including your INR training and experience to: tarryn.ching@nds.ox.ac.uk

Please be aware that you can start anywhere in the cycle. 

An application has been made to the UEMS for CME accreditation of this event.

NEXT: ECMINT 4.4

ECMINT 4.4 will take place 12 – 16 December 2022. ECMINT 4.4 is one of four courses that will make up the ECMINT curriculum. The topic is Endovascular Treatment of Arteriovenous Malformations and Fistulas.

ECMINT 4.4 Programme

Please check the ECMINT 4.4 preliminary programme. The structured programme contains lectures and tutorials which are held in English.

ECMINT 4.3

ECMINT 4.3 took place 20 – 24 June 2022. ECMINT 4.3 is one of four courses that will make up the ECMINT curriculum. The topic is Ischaemic Stroke.

ECMINT 4.3 Programme

Please check the ECMINT 4.3 programme. The structured programme contains lectures and tutorials which are held in English.

ECMINT 4.3 Report by the ECMINT Team

The first hybrid ECMINT, ECMINT 4.3 was held at St. Anne’s College in Oxford from 20th – 24th June 2022, with the online exam on 27th June. It was the first F2F meeting since ECMINT 3.3 In December 2019 – both were on Ischaemic Stroke……and much has changed!

There were 79 delegates staying in the college and 36, virtual, from all over the world. It was wonderful for everyone (F2F) to see each other, meet new friends, communicate and interact once again – we have all missed out on the last 2.5 years.

Anatomy, pathophysiology, strategies, evolving thrombectomy techniques, imaging techniques, complications, intravenous lysis, service organization and anaesthesia were only some of the important issues discussed – established trials were reviewed and current and future developments presented by experts.

Professor Lingsma lectured on medical statistics – a new programme topic and something we need try to understand in view of the explosion of neurointerventional literature that has hit our profession – hence ECMINT is embarking upon a regular session on medical statistics to enable us to realise and focus on the truth.

The weather was fabulous – we could sit outside in the evenings. We had a wonderful evening socialising together and some brave delegates actually went punting on the river.

Tarryn Ching, Shelley Renowden, Phil White, Peter Jezzard

ECMINT 4.2

ECMINT 4.2 was an online-only course and took place 13 – 17 December 2021. The topic is Cerebral Aneurysms – Delayed cerebral ischaemia.

Lectures were available to view online from 22 November for all participants. ECMINT 4.2 is one of four courses that will make up the ECMINT curriculum.

ECMINT 4.2 Programme

Please check the ECMINT 4.2. programme. The structured programme contains lectures and tutorials which are held in English.

ECMINT 4.2 Report by the Education & Examination Committee

Due to soaring cases of the delta variant, ECMINT was forced to be virtual for the third time and omicron really “sealed the deal”. We really, really miss the great academic atmosphere and stimulating, invigorating company provided by F2F ECMINT in St Anne’s.

Like everything, however, there is an upside to virtual ECMINT – the excellent state of the art lectures, delivered by experts, being pre-recorded, can be accessed over and over by the delegates (120 this time) as can the tutorials- also recorded.

4.2 concentrated on the management of subarachnoid haemorrhage, intracranial aneurysms and delayed cerebral ischaemia but the course introduced other topics – content has been expanded to ensure that all aspects of the European INR curriculum are covered in each cycle.

There was a lot of scientific information on the endothelium – the basis for aneurysm formation and delayed cerebral ischaemia. If we don’t understand the science, how can we advance our speciality?
Quizzes, to consolidate knowledge and provide other useful easily accessible information and references were available via the Ortrac website and APP – full of “stuff” we wish someone had told us when we started off.

The exam was virtual again but this time the virtual exam programme cleverly encorporated software to detect delegate behaviour suggestive of cheating. Most candidates did well reflecting the excellent teaching afforded by the course.

We hope to see you..yes, see you in June 2022!
Tarryn Ching, Phil White, Shelley Renowden, December 2021

ECMINT 4.1

ECMINT 4.1 took place online Saturday, 1 May – Thursday, 24 June 2021. ECMINT 4.1 is one of four courses that will make up the ECMINT curriculum.

The topic is Neurovascular disease of the skull base.

ECMINT 4.1 Programme

Please check the preliminary ECMINT 4.1 programme – version 2. The structured programme contains lectures and tutorials which are held in English.

ECMINT 4.1 Accreditation

ECMINT 4.1 is compliant with the Medtech Europe Code of Ethical Business Practice. Please consult ECMINT 4.1 on EthicalMedTech.

Report on ECMINT 4.1 by the Education & Examination Committee

COVID continues and ECMINT 4.1 (main theme vascular skull base disease……with a lot of anatomy!) passed off successfully virtually once again. We were hoping that 3.4 would have been the one and only virtual ECMINT experience, but it was not to be. Who really knows what will happen in December 2021? However, with vaccination programmes within Europe we are hopeful even confident that 4.2 will be Face to Face in Oxford University in December. Prof Peter Jezzard, a longstanding ECMINT lecturer, has joined Shelley & Phil as a local organiser to help secure that Oxford location for the future.

107 delegates joined and fully engaged with the course. We were again superbly supported by Oxford University Nuffield Department of Surgical Sciences (Tarryn especially) and Oxford’s Medical Sciences virtual learning environment. Our excellent faculty recorded on line lectures well in advance (thank you!!) and these could be accessed as often as necessary. Three busy days of live interactive tutorials were given by our team of European INR experts. Educational formative quizzes with extensive background information and references were available via the Ortrac website and APP. The end of course invilgilated exam via Zoom was supported by Damion and Jon from Oxford Medical Sciences……the delegates seem to have done well (must have been too easy!).

We really want to thank our delegates again for embracing this virtual experience – we acknowledge the hard work they have put in. We also thank our lecturers and tutors who have worked so hard and the support provided by Oxford University… a living example of pan European working together to achieve an important goal – the pursuit of excellence and development in INR. We continue to explore UEMS accreditation and aligning ECMINT with the likely requirements for the EBNI Diploma to be UEMS recognised.

With best wishes,
Tarryn, Shelley, Phil & Peter

ECMINT materials

The ECMINT materials are available for ECMINT students (password protected).

ECMINT: The ESMINT Diploma

ESMINT offers a formal Diploma that represents a valid theoretical qualification in neurointerventional therapy. An average pass mark in all 4 ECMINT formal quizzes of 60% or more is needed for eligiblity to sit the ESMINT Diploma examination. Successful participants are awarded the ESMINT Diploma.

Past cycle: ECMINT 3

Dates of ECMINT 3 – the third cycle:

  • Course 1: 10 – 14 December 2018
  • Course 2: 26 – 29 June 2019
  • Course 3: 16 – 20 December 2019
  • Online Course 4: 9 November – 17 December 2020

ECMINT is endorsed by EBNI.

EBNI logo

ECMINT 3.4

ECMINT 3.4 took place online from 9 November – 17 December 2020. ECMINT 3.4 is one of the four courses that will make up the ECMINT curriculum.

Topic: Endovascular Treatment of Arteriovenous Malformations and Fistulas

ECMINT 3.4 Programme

View the updated ECMINT 3.4 programme. The structured programme contains lectures and tutorials which are held in English.

ECMINT 3.4 Accreditation

ECMINT 3.4 is compliant with the Medtech Europe Code of Ethical Business Practice. Please consult ECMINT 3.4 on EthicalMedTech.

Report on ECMINT 3.4 by the Education & Examination Committee

ECMINT (now EBNI endorsed) had to join the 2020 socially distanced world of education with a virtual ECMINT 3.4 focussed on brain, facial and spinal arteriovenous malformations.

97 delegates signed up for a series of pre-recorded lectures accessible from early November and live tutorials were held during the first half of the week of December 14th and 3.4 concluded with a virtual invigilated exam.

The course content was no different from a live Oxford course but the professional interaction was inevitably diminished and the social interaction obviously and regrettably absent. Formative quizzes were via an Ortrac APP, a new development with explanations/rationale and references for the answers included.

The end of course exam/quiz was a new brave venture – virtual and invigilated remotely. We are sorry that there were some, perhaps inevitable, IT hiccoughs (hopefully not to be repeated) with the process but for the vast majority the exam passed off successfully and the delegates are to be congratulated and should feel proud to have embraced the occasion and dealt head on with the difficulties – good training for their INR careers!

Tarryn Ching has been on maternity leave (we all wish her well) and we thank Odette Dawkins who stood in for her. Odette worked incredibly hard, tirelessly and contributed enormously to the success of this course. (It simply would not have happened without her!).

We do hope that for ECMINT 4.1 in June 2021 we will all be in St Anne’s College, Oxford once again. We will keep you updated.

We wish you all a Merry Christmas and a Happy 2021.

Stay safe.

Best wishes,
Odette, Phil, Shelley

ECMINT 3.3

ECMINT 3.3 took place 16 – 20 December 2019. ECMINT 3.3 is one of the four courses that will make up the ECMINT curriculum.

Topic: Ischaemic Stroke.

ECMINT 3.3 Accreditation

ECMINT 3.3 has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 28 European CME credits (ECMEC®s).

ECMINT 3.3 is compliant with the Medtech Europe Code of Ethical Business Practice. Please consult ECMINT 3.3 on EthicalMedTech.

Report on ECMINT 3.3 by the Education & Examination Committee

100 delegates (some quite experienced) attended this course – fabulous state of the art lectures and tutorials delivered by experts from Europe and the UK – the topic – Ischaemic Stroke. So much has evolved in this rapidly progressing exciting subject since 2.3…..the indications for thrombectomy are changing and management now quite appropriately requires being somewhat individualised …. the quizzes even had to be re-written to reflect our changing experience!

Most spoke highly of their experience at St Anne’s and the formal anonymous feedback forms reflected this, although a few were disappointed with the venue, although specifically chosen to provide value for money and the collegiate environment to stimulate professional development and discussion….and therefore appreciated by many.

Tarryn Ching, Phil White, Shelley Renowden

ECMINT 3.2

ECMINT 3.2 took place 26 – 29 June 2019.

Topic: Aneurysms, subarachnoid haemorrhage, delayed cerebral ischaemia

Read the ECMINT 3.2. final programme.

ECMINT 3.2. accreditation

ECMINT 3.2 has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 22 European CME credits (ECMEC®s).

Report for ECMINT 3.2 by the Education & Examination Committee

96 delegates from all over Europe, the USA, New Zealand, Australia, Central America, Middle East, and Singapore attended this course. It really was a great few days with excellent lecturers and tutors and St Anne’s just buzzed with enthusiasm and positive energy.

State of the art management and treatment strategies of all aneurysm types was the main theme. In-depth discussion and debate were exchanged on these important topics, which confront the INR community on a daily basis.

One afternoon focused on delayed cerebral ischaemia, still an important cause of poor outcome in aneurysmal subarachnoid haemorrhage – hopefully, the delegates …our future…will be stimulated to further our understanding and management of this complication.

Thank you again to all our lecturers and tutors and of course the delegates themselves.

See some of you in Nice and hopefully many of you in Oxford in December.

Ms. Tarryn Ching, Phil White, Shelley Renowden

ECMINT 3.1

ECMINT 3.1 took place 10 – 14 December 2018.

Programme & more of ECMINT 3.1

Please consult the ECMINT 3.1: Final programme.

ECMINT 3.1 has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 28 European CME credits (ECMEC®s).

ECMINT 3.1 is compliant with the Medtech Europe Code of Ethical Business Practice. Please consult ECMINT 3.1 on EthicalMedTech.

Report by the Education & Examination Committee

The first course of the 3rd cycle of ECMINT is now complete – with neurovascular disease of the skull base (and some spinal) as the main topic with lots of other lectures related to arterial anatomy, embryology, and haematology in particular. The important subject of consent – the very beginning of our interventional journey was also well covered…..as was vascular access, the second part!

Again we are grateful to our expert internationally acclaimed faculty from Europe and the UK who all give of their time and expertise so generously. Thankfully, this year, life was not complicated by the snow and airport closures that we encountered one year ago!

With the participation and excellent tuition given by so many experts, it is hardly surprising that the course is rapidly expanding and gaining in popularity – 96 delegates but with 155 applicants on this occasion – regrettably it is impossible to accept everyone as part of its appeal has been the small tutorial groups, encouraging valuable discussion and an intimate atmosphere.

ECMINT 3.2 (aneurysms, subarachnoid haemorrhage and delayed ischaemic deficit) will take place in June 26th-29th, 2019, 96 places. Please book early to avoid disappointment.

Hope to see you then.

With best wishes to all for 2019.

Tarryn Ching, Phil White, Shelley Renowden

What is ECMINT?

ECMINT is a 2-year program for trainees in interventional neuroradiology and endovascular neurosurgery. The Course is currently in its third edition. The Course is comprehensive and its curriculum is compliant with the requirements of the UEMS specialist section. It teaches trainees all the components needed to practice the subspecialty.

Teaching is by an international faculty over 4 residential periods of 4-5 days each. These are held at St Anne’s College, Oxford (UK). Students are not obliged to complete all 4 elements in sequence. Completion of each element will earn CME points. The ESMINT accreditation committee will undertake certification of students completing the course.

An intense theoretical training in neuroradiology

Delegates attending this course, focused purely on neurovascular disease/therapy, travel from all over the world, not only from Europe and the UK but also from Australia, the Middle East, Indonesia, Southern America, and the USA. Their backgrounds are predominantly in neuroradiology but there are also neurosurgeons, neurologists, and one cardiologist all wishing to receive training in endovascular neurosurgery/neuroendovascular therapy.

Each cycle comprises 4 courses, over 2 years. Each of these comprises an intense theoretical 4- to 5-day course, consisting of lectures, small group tutorials, and formative quizzes/tests.

Topics covered in the neuroradiology training

The course covers embryology, neuroanatomy, vascular anatomy, neuroimaging, clinical neuroscience, pharmacology, haematology, bioengineering, natural history and pathophysiology of neurovascular disease and management including critical care – all delivered by experts in their field from all over Europe and the UK.

Much of the theoretical knowledge outlined by the European Board in Neurointervention (EBNI) in their recommendations for acquiring competence in endovascular neurointervention, is covered in this two-year course.

  • Course 1: main theme: skull base disease including arteriovenous dural fistulas, vascular skull base tumors and venous disease.
  • Course 2: main theme: aneurysms, subarachnoid haemorrhage and delayed cerebral ischemia
  • Course 3: main theme: ischaemic stroke
  • Course 4: main theme: brain and spinal vascular malformations

How will the neuroradiology content be delivered?

The lectures provide a comprehensive, up-to-date overview delivered by our experts.

Small group tutorials promote stimulating delegate/expert discussion and interaction, and enthusiastic participation encourages the development of professional relationships.

Quizzes/tests further enhance and reinforce knowledge and are facilitated by comprehensive, up-to-date reading lists sent in advance of the course.

The last of the 3 course quizzes/tests is web-based and held under examination conditions at the Oxford Computer Department.