Scientific Programme

The best studies of the last decade and what you didn´t know about them
The worst studies of the last decade and what you didn´t know about them

The conference will kick off with a high-energy session in which Jens Fiehler and Tommy Andersson review the pivotal studies of recent years that have shaped our field, examining both the breakthroughs and the challenges that have driven meaningful change.

1. Chronic vessel occlusions
Chronic vessel occlusions should primarily be treated with bypass surgery.
Chronic vessel occlusions: Why Endovascular Recanalization Should Be First-Line
2. Fusiform posterior circulation aneurysms
Natural history and time point of treatment
Posterior circulation aneurysms: No Bypass, No Solution
Fusiform posterior circulation aneurysms: endovascular only
3. Emergency bypass in acute stroke

The session throws down the gauntlet: Is bypass surgery obsolete—or on the brink of a comeback? This is where microsurgery and endovascular therapy collide—and where the future of cerebrovascular care will be fiercely reimagined.

1. Amy Walters Patient Lecture

Carotid stenting from zero to hero
2. CREST-2: Reasons behind CAS success
3. Beyond stenosis: Selection criteria including plaque imaging, classification
4. Impact of Embolic Protection in CAS
5. New horizons and Emerging Techniques in CAS including new devices
6. Carotid WEB
7. Tandem and dissections
8. Protection pro and contra – Panel discussion

Management of Brain AVMs and dAVF
1. The role of radiosurgery in AVM treatment
2. Brain AVM: how to use EVT, surgery and Radiosurgery for best patient outcomes
3. New embolic materials, imaging results and clinicals outcomes
4. Special population: Management of Paediatric Head, Neck, Face, and Orbital Vascular Malformation
5. Reflection and debate: SNIS and ESMINT case discussion

1. How has education and training in INR changed over the decades and what we could expect in the future?
2. Reports from ESMINT educational programme alumni (ECMINT, EXMINT, Skills Training, Fellowship / Observership, e-Fellowship, NeuroXChange)
3. EastMINT: Remote Expertise, Real-Time Impact

In the first part, an experienced neurointerventionist will present the evolution of neurointerventional training over the years, from its origins to the present day. The focus will be in particular on the qualitative changes that have occurred over time, as well as on the regulatory and technological development—together with the quantitative growth—of our procedures.

In the second part, we will hear testimonials from participants in the various Education programs managed by ESMINT. The aim is to inform everyone about the types of programs promoted by ESMINT, to highlight their advantages, and possibly also to identify areas for improvement to be implemented in future editions.

1. Sustaining 24/7 Stroke Care Across Europe
2. Malaysias Stroke System: Constraints and Creativity

1. What clinical trials demonstrate, and what their results do NOT show
2. Complications of Middle Meningeal Artery (MMA) Embolization
3. Embolization Materials: Advantages and Efficacy
4. “Single-Stop” and Future Strategies for Chronic Subdural Hematoma (cSDH) Combined MMA embolization and hematoma drainage in one procedure, including:
• The Embolization SEPS concept
• The Embodrain system

This session is a “must-see” in the program and delivers a timely, evidence-based update on MMA embolization, critically reviewing clinical trial data, real-world complications, and anatomical risk management. By comparing embolic materials and highlighting emerging single-stop strategies for cSDH, it reflects current practice evolution and future directions in minimally invasive neurointervention.

1. Venous Sinus Stenting in Idiopathic Intracranial Hypertension: Current Evidence and Best Practice
2. Venous Causes of Pulsatile Tinnitus: from Diagnosis to Interventional Treatment
3. Transvenous Shunting: When the Vein Is the Target
4. Maxillofacial vascular malformations: specific considerations regarding therapy

The session shines a spotlight on the cerebral venous system as a rapidly evolving frontier in neurointervention. This session delivers cutting-edge insights into the evidence, techniques, and real-world challenges of venous treatments for idiopathic intracranial hypertension and pulsatile tinnitus, while also exploring the venous system as an access route and alternative to conventional surgical shunt placement. The session culminates with an expert, practice-oriented overview of contemporary strategies for treating maxillofacial vascular malformations.

1. Flat-Panel Angiography in Focus: Unmasking the Hidden BAPAs
2. Perimesencephalic SAH: Still Benign or Just Misunderstood?
3. Risk of overdiagnosis: do we need to treat everything we see
4. Secondary MeVOs: What Flat-Panel Perfusion Reveals Beyond DSA
5. Flat-Panel CTA in Flow Diversion

This session examines how 3D flat-panel acquisition redefines neurovascular diagnostics and clinical workflows for INRs. Experts will evaluate high-resolution imaging’s role in unmasking occult pathologies, refining the classification of subarachnoid hemorrhages, and optimizing flow diversion. Discussions will prioritize leveraging advanced 3D micro-DSA and perfusion imaging data to enhance treatment precision while mitigating risks of overdiagnosis.