The ALICE – Advanced Live Interventional Course of Essen took place in Germany, from the 12th to the 14th of March 2025. Rodrigo Rivera brings you key insights on anatomy, patient-centered decisions, and lessons from both success and complications.
The past two days at ALICE were more than just a technical showcase—they were a testament to how far the field has come and where it is headed. The importance of details, anatomy, and pathology knowledge was evident in every session, reinforcing that neurointervention is an ever-evolving discipline that demands a commitment to learning and adaptation.
Beyond techniques and devices, what stood out most was the philosophy of patient-centered decision-making. Whether in aneurysms, AVM, or ICAD treatments, the best outcomes come from those who are not just skilled but who also think critically, anticipate complications, and constantly refine their approach.
There is an immense value in seeing how experts handle challenges, navigate unexpected situations, and apply their experience to problem-solving. The honesty in presenting these cases was remarkable during the ALICE in trouble session, making it clear that neurointervention is as much about learning from failure as it is about achieving success. The ability to recognize, manage, and prevent complications is what ultimately defines a truly great neurointerventionalist.
ALICE continues to be a space where ideas are challenged, knowledge is shared, and the boundaries of neurointervention are pushed further. The future of the field lies not only in new technologies but in the ability of experts to integrate experience, innovation, and scientific rigor into every decision they make.
Rodrigo Rivera MD PhD
LINNC online Editor-in-chief