Key topics discussed:

• Building and organizing regional and national stroke networks, with insights from the Swiss stroke system
• Lessons learned from major stroke trials and the impact of trial design on clinical practice
• Future directions in neurointervention, including cyclic aspiration and new approaches to chronic total occlusions and intracranial stenosis
• Why dural AV fistulas and CSF venous fistulas remain among the most intellectually rewarding and underdiagnosed conditions

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Key topics discussed:

• The shifting focus in neurointervention, from aneurysms and large vessel occlusions to chronic subdural hematomas and migraine-related pain.
• Investigating vascular links to chronic pain, with potential neurosurgical approaches to treating migraines.
• Ethical complexities in clinical trials and research integrity, with reflections on the ESCAPE-MeVO and DISTAL studies.
• The importance of interdisciplinary collaboration, highlighting teamwork between interventional and non-interventional neurosurgeons, neurologists, and radiologists to improve patient outcomes.
• The evolving role of mentorship in medicine, and how listening and honest communication shape successful mentor-mentee relationships.

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Topics discussed in this episode:

• Early motivations for medicine and improvising catheter technology in the absence of modern tools
• The development of variable stiffness catheters and the vision for articulating technology enabling “true endovascular surgery”
• Becoming a global reference for vein of Galen malformations through teamwork and collaboration with Pierre Lasjaunias
• Lessons learned from patient complications, including the need for honesty and humility in medicine
• The role of mentorship in his professional life and his advice for trainees
• Future perspectives on robotics, articulating catheters, radiosurgery, genetic therapy, and epilepsy treatment

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Topics discussed in this episode:

• Entering neurology before the CT era and transitioning to neuroradiology with the rise of imaging
• Learning catheter techniques during the balloon era and witnessing the game-changing impact of coils
• The thrill and setbacks of early thrombectomy, and the transformation following 2015 trial results
• Mentorship in France, and the value of honest, peer-level learning environments
• Advocating for meaningful complication meetings and the role of transparency in medical progress
• Reflections on leadership, humility, and building respectful team dynamics
• Concerns about over-reliance on devices, and the need to refocus on patient-centered care
• A call for future generations to embrace philosophy, literature, and broad perspectives beyond medicine

Dr. Boccardi closes with a poignant message: keep your feet on the ground, your mind open, and never lose sight of what it means to be human in medicine.

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Topics discussed in this episode:

• Transitioning from neurosurgery to neurointervention and early exposure to AVM treatment
• Establishing a career and reputation in Brazil with limited resources
• The slow integration of stroke thrombectomy into Brazil’s public health system and the impact of the RESILIENT trial
• Regional inequalities in access to care and the need for localized treatment strategies
• Reflections on device evolution, simulation training, and making procedures more accessible and reproducible
• Mentorship, building national training networks, and inspiring future interventionalists
• A call for global inclusion in trials and collaboration beyond Europe and the U.S.
• The potential of a motivated new generation to transform care in emerging regions.

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Topics discussed in this episode:

• A pioneering journey: From falling into neurointervention by chance to becoming a key figure in India's development of the specialty.
• Training the next generation: The evolution of fellowships, the importance of hands-on mentorship, and why structured, long-term training remains crucial.
• Infrastructure and access: How charitable support and public-private collaboration have made advanced procedures possible in resource-limited settings.
• India-specific challenges and strengths: High prevalence of venous stroke and ICAD, and the country’s growing experience in managing these complex cases.
• Future vision: A call for more inclusive training, a greater role for Indian centres in global research, and optimism about minimally invasive technologies and the evolving role of neurointervention in brain modulation.

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Topics discussed in this episode:

• A journey from Libya to the UK: Saleh Lamin recounts his path from medical training in Tripoli to becoming an interventional neuroradiologist in Birmingham, overcoming challenges along the way.
• Early adoption of pipeline flow diversion: His role in pioneering the use of flow diverters in Europe and participating in key clinical trials.
• The evolution of hemorrhagic stroke treatment: Advances in flow diversion and intrasaccular devices, the importance of proper sizing, and the future of coated stents.
• The future of neurointervention: How robotic technology, patient-specific devices, and improved treatment strategies could shape the field in the next 20 years.
• Training the next generation: The need for hands-on experience, mentorship, and increasing diversity in neurointervention.

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Join us for the latest "INR Stories: the Uncensored Interviews" episode featuring Dr. Marc Ribo.

Interviewed by Nanthiya Sujijantarat, Marc Ribo shares his journey in neurointervention, from pioneering stroke networks to reshaping acute stroke treatment.

Topics discussed in this episode:

• Building stroke networks in Spain: The evolution from isolated centres to a coordinated system improving patient outcomes.
• Challenges in training and specialization: Overcoming barriers as a non-radiologist neurointerventionist and the future of subspecialization.
• The impact of clinical trials: Insights from major studies and their impact on streamlining workflows and reducing treatment delays.
• The future of neurointervention: The role of thrombectomy expansion, neuroprotective strategies, and specialized stroke intervention teams.

Tune in now!

Discover more expert insights in neurology, neuroradiology, and neurosurgery by subscribing to LINNC INR Podcasts!

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Join us for the latest "INR Stories: the Uncensored Interviews" episode featuring Prof. Sirintara Pongpech.

Interviewed by Nanthiya Sujijantarat, Sirintara Pongpech opens up about pioneering neurointerventional radiology in Southeast Asia and the challenges of advancing the field.

Topics discussed in this episode are:

• Trailblazing neurointervention in Thailand: Prof. Pongpech shares her journey from training under Prof. Pierre Lasjaunias (Bicêtre Hospital) to establishing neurointerventional radiology as a specialty in her country.
• Challenges in education and training: Insights into creating fellowship programs, addressing gender disparities, and preparing diverse medical professionals.
• Healthcare barriers in Southeast Asia: The hurdles of inadequate resources, staffing shortages, and systemic inefficiencies in public hospitals.
• Opportunities for regional research and innovation: The need for clinical trials and devices tailored to Asian populations.
• Future outlook on neurointervention: Emerging technologies, interdisciplinary approaches, and fostering gender equity in the field.

Tune in now!

Discover more expert insights in neurology, neuroradiology, and neurosurgery by subscribing to LINNC INR Podcasts!

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In this new episode of the Mending Minds podcast series, Dr. Nanthiya Sujijantarat and her guest, Dr. Jildaz Caroff, explore breakthrough techniques and practices shaping the future of medical treatments.

Dr. Jildaz Caroff, Le Kremlin-Bicêtre, Paris, shares his expertise on dual antiplatelet therapy (DAPT) following flow-diverter (FD) treatment of intracranial aneurysms.

In this new episode, you will learn:

• DAPT: Current practices after FD treatments for intracranial aneurysms.
• Surface modifications & shield technology: Impact of coatings on treatment safety and efficacy.
• The INSPIRE registry: Real-life data on FD treatments using shield technology.
• DAPT protocol variations: Ongoing challenges of developing precise guidelines across different institutions.
• Optimal DAPT duration: Reducing the treatment time from 6 months, and patient-specific strategies.
• And much more.

Listen now! 

To delve deeper and discover more expert testimonies in neurology, neuroradiology, neurosurgery, subscribe to LINNC INR Podcasts!

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