The 21th session of LINNC Paris, began Monday 11th in front of full audience at the Carrousel du Louvre. The day was very busy with eight Live Cases from Iran, Paris and Sao Paulo.
Vanessa Chalumeau began with an introduction and review of several new devices that are on the market for cerebral aneurysms. She showed the current level of evidence and the use of the new tools that will be demonstrated and discussed during these 3 days in Paris.
The first live transmission was from Tehran, Iran with Askar Ghorbani and his team. They performed a great treatment of a ruptured cerebellar AVM with Onyx. The attention then turned to Paris when Laurent Spelle treated a giant partially thrombosed aneurysm at left MCA using the all new Silk Vista Baby, with a nice reconstruction of the parent vessel. Tehran then treated a left ICA-A1 aneurysm with a Fred FD and coils Inspiring an excellent discussion among the members of the faculty on treatment options for this type of aneurysm.
The morning’s live cases ended with one from Bicetre, a case of right MCA aneurysm treated with Neuroroform Atlas and coils by Laurent Spelle, and with a silicon model treatment of a brain aneurysm performed by Dr. from the Philippines selected by a vote from the audience. Dr Norraseth Kittinorraseth had the opportunity to have first-hand the experience of a live transmission case, that was compared with the recorded case management of the same aneurysm performed previously by the Paris team.
The afternoon was opened by South America with the Sao Paulo, Brazil team of Michel Frudit. Their live case was a tentorial dural fistula treated with a Phil, which they managed to close with embolic material. This was at the heart of a panel discussion about DAVF, treatments and embolic materials. The Bicetre team, headed by Jacques Moret , treated a left parietal AVM. The strategy was to perform a double access from both the vein and arterial section. Finally, the treatment was performed from the arterial side with a successful and complete exclusion of the vascular malformation. This gave the opportunity to discuss AVM treatment along with different access strategies from an endovascular point-of-view.
Sao Paulo closed their transmission with a case of dissecting A1 aneurysm, that was previously clipped. The team now reconstructed the artery with a PED with perfect positioning of the device in the affected zone.
The last case of the day came from Paris, were Jacques Moret performed the treatment of a right MCA aneurysm with a WEB device and balloon in order to tilt the device for perfect in-sac placement. The faculty panel and audience discussed the different treatment options for this case as well as the technical details concerning the use of these endosacular tools.
The whole session for this first day was held under the constant rain of a late Paris spring but with cases as interesting as we saw – and the discussions that followed – the audience never noticed, remaining inside and enjoying live cases, hot topic discussions and a social ambience that kept us all dry.
Let’s go for day 2!
Rodrigo Rivera MD.