What does the future hold for our increasingly multidisciplinary practice?

We are “on the cusp of major changes in the field”, so declares Prof. Adam S. ARTHUR in this engaging discussion from LINNC Paris 2021. Touching on the history of interventional neuroradiology, Prof. ARTHUR begins by looking at the early treatment reserved for patients with little hope of survival such as those involving giant aneurysms, difficult AVMs or subarachnoid hemorrhages. He then turns to the present, where the endovascular approach is considered a “mainstay of modern treatments” with mechanical thrombectomy being called the “penicillin for modern strokes”
 
But what does the future hold for our increasingly multidisciplinary practice? The treatment of chronic subdural hemorrhages, hydrocephalus or paralysis?
Have we advanced in our understanding of cerebral vessels – going beyond arterial treatment to the venous system as well?
What future synergy could exist between devices and drugs such as early work going on now in opening the blood brain barrier in Alzheimer’s disease?
 
As we move from rare disease states to treating more common ones, what does Prof. ARTHUR see emerging from ongoing research, randomized trials and evidence-based medicine?
 
What is missing in our understanding of dual antiplatelet therapy?
Why is it that we cannot promote clotting in one part of the body while preventing it in another? What is changing in terms of devices or studies that go beyond examining DAPT in a limited population of “white men”?
 
The adventure in INR is only now taking off – explore it here with Prof. Adam S. ARTHUR!

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