• Aneurysm

This issue of the Journal of Neurointerventional Surgery features manuscripts on a wide-array of subjects relevant to the endovascular community. These include topics as varied as flow diversion, managing and predicting large vessel occlusions, imaging for transverse sinus stenosis and spinal dural arteriovenous fistulas, and laboratory analysis of distal emboli. Nine manuscripts in particular reflect this diversity.

Complex aneurysms remain challenging for endovascular and open surgeons alike. Anterior cerebral artery lesions are particularly vexing because of their proximity to multiple vessels and their propensity for rupture. Dabus et al, in a multi-center evaluation, reported their results on the treatment of this cohort with flow diversion.1 Although an off-label application in this setting, flow diverters are potentially useful for those aneurysms not amenable to conventional treatments such as coiling and clipping. This report adds to previously published work in JNIS highlighting these techniques for distal aneurysms.2 Innovative treatment strategies like these advance the field of neurointerventional surgery.

The publication of five randomized trials in 2015 affirmed the efficacy of mechanical thrombectomy …