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We were separated by the pandemic, but here we are, and this is what we were most looking forward to: the 23th session of LINNC Paris !
LINNC Paris began on Tuesday the 14th in front of a full audience at the Carrousel du Louvre and for the first time we are taking the course online. In these trying times, livestreaming LINNC Paris means we can share our experience, discuss the latest techniques as well as the latest issues in the field of Interventional Neuroradiology and Neurosurgery – and we can do this even with those of you who cannot be with us in person.
Livestreamed cases from Beijing, Paris and Toronto, followed by interactive discussions from an international panel of experts will be delivered throughout this course, and we’re starting NOW! Jildaz CAROFF began with a lecture about cangrelor and tirofiban, antiplatelet agents that are being used more and more in our field, often in combination. Depending on the situation, he shared the tools that will guide us in the future to select the most appropriate and safe agent, and improve our clinical practice. The first live transmission was from Xuanwu Hospital, Beijing, China with Hongqi ZHANG and his team. They performed a great treatment of a BA stenosis with a Gateway balloon and Wingspan stent. Beijing then performed a transvenous embolization of a DAVF in the cavernous sinus which inspired an excellent discussion among the members of the faculty on treatment options for this type of malformation. The attention then turned to Paris where Professor Jacques MORET treated an ACom aneurysm using a WEB, with a difficult carotid siphon and demonstrating navigation techniques. Then presented an MCA stenosis treated with successful angiographic results. Finally, a case of an atypical ICA aneurysm was treated with coils encouraging a debate regarding the cause of post-stenosis aneurysms: such insights are priceless. During the symposium, frequent discussions around stroke management and complex ethical dilemmas and controversies arose between the expert panel members and the audience. There was a tribute to Ronnie Piske with talks by Michel FRUDIT and Elias RABAHI. They recounted the phenomenal amount of work that this pioneer had undertaken to advance the field of neurointerventional radiology. The morning’s live cases ended with one from Bicêtre performed by Léon IKKA, a case involving a recanalized AComA aneurysm treated with a VANTAGE flow diverter through radial access. A nice reconstruction of the parent vessel was made both safe and feasible through radial access. Then Laurent PIEROT presented the PHENOX symposium and the COATING trial designed to have data underlining the advantages of a novel coated stent. The afternoon opened with a presentation by the TORONTO, CANADA team of Prof. Vitor MENDES PEREIRA. Their live case was unique as it was treated using a robot. The strategy was discussed concerning treatment of the left PICA aneurysm with a flow diverter carried out by Prof. Laurent SPELLE. Then the second case by the TORONTO, CANADA team showed the management of a growing fusiform right posterior cerebral artery aneurysm treated using a flow Diverter (Pipeline Vantage). This case illustrated the feasibility and effectiveness of a flow diverter in this complex physiopathological aneurysm. Finally, the Bicêtre team, headed by Prof. Laurent SPELLE, treated a recanalized Acom aneurysm with Y-stenting using an ATLAS and coils. The treatment was performed with ease as the deployment of the flow diverter was facilitated thanks to a 17 Fr microcatheter. Amazing how this advance in technology can help us manage difficult cases and thus improve the care that we offer our patients.
Let’s go for day 2!
By Vanessa Chalumeau
