New Directions in Neurointervention

By Pascal Jabbour, MD

New AHA/ASA Stroke Guideline and the Practical Impact for Neurointerventionalists

Reviewing the new guideline through five practice points.

By Basel Musmar, MD, and Stavropoula I. Tjoumakaris, MD, MBA

Intracranial Aneurysms: Trials for Intrasaccular Devices in the United States

An update on the United States clinical trial landscape and evolving evidentiary standards for intrasaccular flow disruption.

By Anthony P. Terraciano, BS; Khushal Gupta, MBBS; and David J. Altschul, MD

Endovascular Treatment of Migraine and the Clinical Evidence Landscape

Pathophysiologic rationale, procedural techniques, clinical evidence, and future directions for intra-arterial middle meningeal artery (MMA) lidocaine infusion and MMA embolization in refractory migraine.

By Rami Fakih, MD; Pervinder Bhogal, MBBS; Alex Sirakov, MD; M. Fareed K. Suri, MD; and Adnan I. Qureshi, MD

Intra-Arterial Therapy for Glioblastoma: Beyond Access to Effective Tumor Delivery

A neurointerventional perspective on technique, limitations, and the evolving role of precision delivery strategies.

By Juan Diego Alzate, MD, MSc; John Boockvar, MD; David Langer, MD; Miroslaw Janowski, MD, PhD; and Yafell Serulle, MD, PhD

A Physicist’s Perspective on Radiation Safety: What Should Matter Most?

Advice on what clinicians should know about exposure, risk, and protection.

With Ehsan Samei, PhD

A Practical Roadmap to Safer Labs: What to Fix First, Second, and Third

A stepwise approach to reducing radiation risk during fluoroscopically guided interventions, centered on optimizing the imaging system, PPE, and shielding system.

By Antonio Solano, MD, and Melissa L. Kirkwood, MD

Translating Awareness of Radiation and MSK Risks Into Action: What Will It Take?

Perspectives on steps from awareness to action in radiation safety.

With Mina S. Makary, MD, FSVM, FAHA, FCCP, and Giorgio A. Medranda, MD, FACC, FAHA, FSCAI

Converging Solutions for Sustainable Safety in the Interventional Lab

Integrating technologic innovation and cultural shifts to achieve durable reductions in radiation exposure and musculoskeletal strain.

By Stéphan Haulon, MD, PhD

Expanding Neurovascular Applications of the Swift™ Coil System

Case-based perspectives on the utility of SwiftPAC™ and SwiftSET™ coils across diverse neurovascular embolization applications.

With Mohsen Nouri, MD; Robert M. Starke, MD; Allison E. Strickland, MD; and Nitin Goyal, MD

An Interview With Nishita Kothary, MD, FSIR

Dr. Kothary discusses the evolving role of interventional radiology in value-based and longitudinal patient care, the importance of outcomes-driven research and physician leadership, and the cultural shifts shaping the next generation of IR.