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The 3rd Regional Course in Diagnostic and Treatment of Spontaneous Intracranial Bleeding, presented by the Zagreb School of Endovascular and Microvascular Neurosurgery, was held for the third year in a row at the University Hospital Center “Sestre Milosrdnice” in November 2018 in Zagreb (Croatia). The event was co-organized by the Croatian Society for Cerebrovascular and Endovascular Neurosurgery, the Southeast Europe Neurosurgical society (SeENS), the Croatian Neuroradiological Society and the Applied Health Sciences University of Zagreb. For the first time, the course was ESMINT-endorsed.
The course is divided into two days of scientific sessions. On the first day, we heard great talks from Prof. Spelle about indications and use of flow diverters in the acute phase, and Dr. Aggour gave an enlightening talk about endovascular management of vasospasms.
There were also compelling talks from physicians (Prof. Zadravec, Prof. Breitenfeld and Dr. Roje-Bedeković) from the Clinical Hospital Centre Sestre Milosrdnice neurological and radiological department (Zagreb, Croatia) about diagnostic and treatment of SAH.
To finish the day, we saw an interesting live endovascular case, in a young patient with vocal cord tm, in which during pre-operative checkup, the top of the basilar artery aneurysm was found. The treatment strategy was to do the case with two Comaneci devices in Y configuration and coils in the sac. Finally an lvis blue was placed from the P1 artery to the basilar artery.
On the second day we got to hear two more interesting talks from France. Prof. Spelle discussed the treatment of asymptomatic aneurysms in Hôpital Bicêtre in Paris, and Dr. Aggour from St Etienne shared his feedback on the WEB device.
Mario Martinez Galdamez from Madrid (Spain), also gave a very interesting lecture about the evolution and advances of flow diverter technology from its beginnings to present devices.
In the middle of the second day, we saw an exciting live microsurgical treatment of PCOM aneurysm done by Prof. Rotim. During the case discussion, endovascular vs microsurgical technique was discussed in the audience.
Both patients were doing well after procedures and were discharged from the hospital just a few days after treatment.
During these two days we were also hosts to our peers from Banja Luka and Sarajevo, as colleagues from these two nearby cities are very interested in developing a stroke program. We had the opportunity to share valuable information on starting the program and we are looking forward to future cooperation.
All the best from Zagreb, and please come next year!
Dr. Vladimir Kalousek
Zagreb, Croatia
