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The e-mémoires of the Académie Nationale de Chirurgie

Interventional neuroradiology rises to the challenge of emergency treatment without delay: stroke.

Hubert DESAL

Seance of wednesday 25 october 2023 (Le rapport de l’Académie de Médecine sur la place de la médecine interventionnelle)

DOI number : 10.26299/5m0n-3h04/emem.2023.30.04

Abstract

Interventional Neuroradiology (INR) is a recent medical activity using imaging to treat vascular pathology of the central nervous system. It has historically played a role in the management of intra-cranial haemorrhagic pathology (aneurysms, arteriovenous malformations or arteriovenous fistulas). This activity is carried out in the 35 centres that bring together all the specific medical and surgical skills.

Since 2015, INR has been at the forefront of a scientific "revolution" in stroke management : Mechanical Thrombectomy (MT). It has risen to the challenge of providing our compatriots with access to MT under the safest possible conditions. In 2/3 of cases, it is performed at night and on public holidays.

The SFNR has undertaken an enormous amount of clinical, training and organisational work, with the same number of staff, by opening new TM centres (mention A) in population catchment areas at a distance from the 35 historical NRI centres (mention B). Now is the time to invest in human resources, with the creation of hospital and university practitioner posts for the young people who have joined our ranks to exercise their radiological and interventional expertise in the service of patients and neurosciences.
(INR, Stroke, public health)