JNIS podcast

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In these podcasts we will be talking about the latest research, new devices and techniques, as well as controversial topics in the field of Neurointerventional Surgery.

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The Journal of NeuroInterventional Surgery (JNIS) is a leading peer review journal for scientific research and literature pertaining to the field of neurointerventional surgery. The journal launch follows growing professional interest in neurointerventional techniques for the treatment of a range of neurological and vascular problems including stroke, aneurysms, brain tumors, and spinal compression.The journal is owned by SNIS and is also the official journal of the Interventional Chapter of the Australian and New Zealand Society of Neuroradiology (ANZSNR), The Hong Kong Neurological Society (HKNS) and the Neuroradiological Society of Taiwan
🇬🇧 English
last modified
2019-01-27 14:50
last episode published
2019-01-21 17:34
publication frequency
37.48 days
BMJ Group author   owner  
Number of Episodes
Detail page
Science & Medicine Health Medicine



Date Thumb Title & Description Contributors

Wide-neck middle cerebral artery and basilar apex treated by endovascular techniques. The BRANCH

In the January 2019 podcast, Felipe C. Albuquerque talks to Reade De Leacy about the BRANCH (wide-neck bifurcation aneurysms of the middle cerebral artery and basilar apex treated by endovascular techniques)- a multicentre, retrospective study comparin...
BMJ talk medicine author

Neurothrombectomy in the late time window: continued benefit in trial ineligible patients

There are two editor's choice papers of the November issue of JNIS are discussed in this podcast. Editor-in-Chief of JNIS, Felipe de Albuquerque, talks to Ashutosh Jadhav and Shashvat Desai, both from the Department of Neurology, University of Pittsbur...
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Current endovascular strategies for cerebral venous thrombosis

The recommendations of the report of the Society of Neurointerventional Surgery (SNIS) Standards and Guidelines Committee for endovascular strategies for cerebral venous thrombosis are discussed in this podcast. Editor-in-Chief of JNIS, Felipe de Albuq...
BMJ talk medicine author

M2 occlusions patients may benefit from endovascular therapy

M2 occlusions can present with serious neurological deficits, resulting in large infarcts and significant morbidity and mortality. The paper discussed in this podcast concludes that patients with M2 occlusions and higher baseline deficits (NIHSS score ...
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Balloon guide catheter use in mechanical thrombectomy linked to clinical and angiographic outcomes

The use of balloon guide catheters (BGCs) during mechanical thrombectomy for acute ischemic stroke is associated with superior clinical and angiographic outcomes, concludes a systematic review and meta-analysis recently published by JNIS and discussed ...
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Favorable revascularization therapy in patient with ASPECTS ≤5 in anterior circulation infarct

A low baseline Alberta Stroke Programme Early CT Score (ASPECTS) is strongly associated with low rates of favorable outcome in patients with acute stroke. The study discussed in this podcast evaluated the efficacy and safety of revascularization therap...
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Too good to intervene? Thrombectomy for large vessel occlusion strokes with minimal symptoms

In this podcast, the Editor-in-Chief of JNIS Felipe Albuquerque speaks to Raul Nogueira (Department of Neurology, Emory University School of Medicine/Marcus Stroke & Neuroscience Center, Atlanta, Georgia, USA). He is the co-author of the study "Too...
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Predictors of false-positive stroke thrombectomy transfers

Diagnosing with clinical scales or imaging? The transfer decision process of patients with large vessel occlusion (LVO) stroke to receive thrombectomy is discussed in this podcast. The Editor-in-Chief of JNIS Felipe Albuquerque speaks to Michael Chen ...
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Editorial: In defence of “our” stroke patients

JNIS Associate Editor Joshua Hirsch is joined by Shazam Hussain (Cerebrovascular Center, Cleveland Clinic, Ohio, USA) and David Fiorella (Department of Neurosurgery, Stony Brook University, New York, USA) to discuss the June 2017's editorial in the Jou...
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Long term experience using the ADAPT technique for the treatment of acute ischemic stroke

The direct aspiration first pass technique (ADAPT) has been introduced as a simple and fast method for achieving good angiographic and clinical outcomes using large bore aspiration catheters for the treatment of acute ischemic stroke (AIS). A study rec...
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Implications of limiting mechanical thrombectomy to patients with ELVO meeting top tier evidence

The impact of recent guidelines for endovascular management of emergent large vessel occlusion (ELVO) awarding top tier evidence to the same selective criteria in recent trials is discussed in this podcast. The Editor-in-Chief of JNIS Felipe Albuquer...
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In this podcast about the healthcare policy, Associate Editor of JNIS and Chair of the SNIS Health Care policy and Economic committee Josh Hirsch is joined by co-authors Andrew Rosenkrantz, from the Department of Radiology, NYU Langone Medical Center, ...
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Decreasing procedure times with a standardized approach to ELVO cases. Welcoming JNIS new editor

In this introductory podcast of Felipe Albuquerque, the new Editor-in-Chief of JNIS talks with Ryan McTaggart, who co-authored the study, "Decreasing procedure times with a standardized approach to emergent large vessel occlusion (ELVO) cases". The st...
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Analysis of vertebral augmentation practice patterns update. The farewell to JNIS editor Robert Tarr

In this farewell podcast of the JNIS Editor-in-Chief, Robert Tarr talks vertebral augmentation practice with Associate Editor Joshua Hirsch and Ronil Chandra. Dr J A Hirsch, from the Massachusetts General Hospital, Harvard Medical School, USA, and Dr ...
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Type of general anesthesia effects on endovascular management of acute ischemic stroke

In this podcast, Andrew Kofke, from the Departments of Anesthesiology and Critical Care and Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA, reveals the details of his JNIS Editor's Choice paper published in the...
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Posterior cranial fossa arteriovenous malformations are more prone to feeder vessel aneurysms

In this podcast, the Editor-in-Chief of JNIS, Robert Tarr, is joined by Ali Alaraj, the corresponding author of the study, "Increased prevalence and rupture status of feeder vessel aneurysms in posterior fossa arteriovenous malformations". Dr Alaraj, ...
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The low-profile visualized intraluminal support device use on wide-necked intracranial aneurysms

In this podcast, the Editor-in-Chief of JNIS, Robert Tarr, is joined by David Fiorella, the corresponding author of the study, "Final results of the US humanitarian device exemption study of the low-profile visualized intraluminal support (LVIS) device...
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GRAFT reduces potential flow diverter malapposition and occasional acute thrombus formation

In this podcast, Dr Robert Tarr interviews Dr Matthew Gounis and Dr Ajit Puri on their latest study, "Grading of Regional Apposition after Flow-Diverter Treatment (GRAFT): a comparative evaluation of VasoCT and intravascular OCT". GRAFT is a semi-aut...
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Arteriovenous malformation embocure score

In this podcast, Dr Demetrius Lopes tells Robert Tarr, the Editor of JNIS, the details of the study "Arteriovenous malformation embocure score: AVMES".Demetrius Lopes, a neuroendovascular surgeon at Rush University Medical Center, Chicago, Illinois, US...
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Three-dimensional printing of anatomically accurate patient specific intracranial aneurysm models

In this podcast, the Editor of JNIS, Robert Tarr, talks to Christof Karmonik, from the Houston Methodist Research Institute, USA, about the details of the study "Three-dimensional printing of anatomically accurate patient specific intracranial aneurysm...
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Endovascular Stroke Therapy: early emergency arrivals effects on collaterals, infarcts and outcomes

In this podcast, Dr David Liebeskind, explains the details of the paper "Early arrival at the emergency department is associated with better collaterals, smaller established infarcts and better clinical outcomes with endovascular stroke therapy: SWIFT ...
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Stroke treated with mechanical thrombectomy: outcomes of prior use of intravenous thrombolysis

With multiple RCTs demonstrating clear benefit of mechanical thrombectomy in ELVO, the question of best approach to patients eligible for simultaneous treatment with IV TPA and mechanical thrombectomy has been debated. Dr. Hirsch interviews Drs. Lesli...
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Catheter based selective hypothermia reduces stroke volume during focal cerebral ischemia in swine

In this podcast, Dr Thomas Mattingly explains the details of this study conducted in swines and which gives insights into wether endovascular selective hypothermia can provide neuroprotection within time frames relevant to acute ischemic stroke treatme...
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Predictors of poor outcome despite recanalization: a regression analysis of the NASA registry

In this podcast, Italo Linfante, Miami Cardiac and Vascular Institute and Neuroscience Center, Baptist Hospital, Miami, USA, tells JNIS’ Editor Robert Tarr, the details of his study “Predictors of poor outcome despite recanalization: a multiple regress...
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Raymond-Roy Occlusion Classification of intracranial aneurysms treated with coil embolization

In this podcast we find the details of the study "An update to the Raymond-Roy Occlusion Classification of intracranial aneurysms treated with coil embolization".Professor Robert Tarr interviews Justin Mascitelli, the author of the article, which can b...
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Critical assessment of the morbidity associated with ruptured cerebral arteriovenous malformations

In this podcast Dr Robert Tarr talks to Dr Michael Chen about his editors choice paper "Critical assessment of the morbidity associated with ruptured cerebral arteriovenous malformations". They discuss the reasons for undertaking the study, the contro...
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Healing of aneurysm: a comparison of gene expressions

What understanding do we have of the rupture risk and healing following aneurysm treatment? Robert Tarr interviews Ram Kardivel, of the Neuroradiology Research Laboratory, Mayo Clinic, USA, on the main conclusions of her study "Gene expression compar...
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Aneurysm permeability following coil embolization: Packing density and coil distribution

In this podcast Dr Robert Tarr talks to Dr Matt Gounis and his team Dr Juyu Chueh and Dr Srinivasan Vedantham about their editors choice paper. In this podcast they discuss their methodology and the drawbacks of this kind of study.Full paper>> ht...
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Incidence and morbidity of craniocervical arterial dissections

In this podcast Dr Robert Tarr speaks to Dr Ali Seifi about his recent paper that was selected as editors choice. This podcast covers the differences in mortality and patient outcome between endovascular coiling and surgical clipping and discusses poss...
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The trials and tribulations of peer review

Bias and peer review are of universal importance to all those that produce scholarly work. Fiona Godlee and Rob Tarr, editors in chief of The BMJ and JNIS respectively, share their insights and experience on these highly topical issues with Joshua Hir...
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Value based healthcare and the specialist

The system of healthcare delivery in the United States is in the midst of a meaningful transition. Traditional fee for service paradigms are moving towards what has been termed value-based approaches. Doctors Joshua HIrsch, Geraldine Mcginty and Greg N...
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The MRClean trial

On Dec 17th 2014, the NEJM published the results of MR CLEAN; a Dutch study comparing patients treated with intra-arterial thrombolysis to those of a medically managed cohort. The design of this trial was ingenious; focusing attention on patients who ...
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Endovascular treatment for large vessel stroke

With advances in device design, patient selection paradigms and other elements of treatment, the neuroendovascular approach to acute ischemic stroke has made great strides forward. In this podcast, Dr Joshua Hirsch interviews Dr Brijesh Mehta on how ...
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ASPECTS decay during inter-facility transfer predicts patient outcomes

Pretreatment Alberta Stroke Program Early CT Scores (ASPECTS) is associated with clinical outcomes. The rate of decline between subsequent images, however, may be more predictive of outcomes as it integrates time and physiology. A paper published in t...
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Unruptured intracranial aneurysms conservatively followed with serial CT angiography

Could morphology and growth predict rupture? Despite several landmark studies, the natural history of unruptured intracranial aneurysms (UIA) remains uncertain. Rob Tarr talks to William Mehan, Division of Neuroradiology, Massachusetts General Hospit...
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Admission neutrophil–lymphocyte ratio predicts 90 day outcome after endovascular stroke therapy

Immune dysregulation influences outcome following acute ischemic stroke (AIS). Admission white blood cell counts are routinely obtained, making the neutrophil–lymphocyte ratio (NLR) a readily available biomarker of the immune response to stroke. With...
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Endovascular recanalization of complete subacute to chronic atherosclerotic occlusions

Symptomatic subacute/chronic large artery intracranial occlusive disease represents a common medical dilemma. A recent JNIS paper reports a multicenter experience of endovascular recanalization of intracranial atherosclerotic occlusions refractory to m...
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Safety and predictors of aneurysm retreatment for remnant intracranial aneurysm

Aneurysmal subarachnoid hemorrhage (SAH) is a rare but devastating form of stroke. Endovascular therapy has been criticized for its higher rate of recanalization and retreatment. The safety and predictors of retreatment are unknown. A recent study in...
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Affordable care 2014: A tale of two boards

The Patient Protection and Affordable Care Act (ACA) became law on 23 March 2010. As part of the law, two independent boards were established. The Patient-Centered Outcomes Research Institute embodies national aspirations for employing comparative effe...
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Flat detector derived parenchymal blood volume maps to estimate cerebral blood volume

Newer flat panel angiographic detector (FD) systems have the capability to generate parenchymal blood volume (PBV) maps. The ability to generate these maps in the angiographic suite has the potential to markedly expedite the triage and treatment of pat...
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Current Procedural Terminology

US physicians nearly universally use the CPT coding system. This code set communicates medical, procedural, surgical and diagnostic services and is a critical component of describing the work we do.Drs. Josh Hirsch, Jackie Bello and Raymond Tu are acti...
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The ADAPT technique in the clinic: A direct aspiration first pass technique for stroke thrombectomy

The development of new revascularization devices has improved recanalization rates and time but not clinical outcomes. In a paper in May's JNIS, Aquilla Turk, Department of Radiology, Medical University of South Carolina, ad colleagues, report their in...
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Evidence based neurointervention

Drs. Hirsch, Meyers and Jayaraman discuss the evolving and at times complex role of Evidence Based Medicine (EBM) in contemporary neurointerventional practice. The discussants contrast EBM with Comparative Effectiveness Research and the role it plays ...
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Size and location of ruptured intracranial aneurysms in patients with single and multiple aneurysms

The difference in the relationship between the size of intracranial aneurysms (IAs) and their risk of rupture in patients with singe IAs versus those with multiple IAs is unclear.A recent JNIS paper retrospectively analysed the size of ruptured IAs (RI...
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Endovascular reperfusion and cooling in cerebral acute ischemia

The efficacy of hypothermia as a neuroprotectant has yet to be demonstrated in acute ischemic stroke.Researchers at Emory University School of Medicine conducted a phase I pilot study to assess the feasibility and safety of performing intravascular hyp...
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The hyperdense vessel sign predicts successful recanalization in acute ischemic stroke

JNIS editor-in-chief Rob Tarr talks to Mike Froehler, Department of Neurology, University of Iowa Hospital, about his paper which revealed the hyperdense vessel sign on CT in acute ischemic stroke was strongly predictive of successful recanalization us...
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The sustainable growth rate

Nearly annually, US healthcare providers face a significant downward revision to their Medicare fee schedule secondary to the application of the sustainable growth rate formula. Recent developments raise the possibility that this unsustainable situatio...
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AVM angioarchitecture and hemorrhagic presentation in children with cerebral AVMs

JNIS editor Rob Tarr talks to Darren Orbach, Department of Neurointerventional Radiology, Children's Hospital Boston, about his recent editor's choice paper: Angioarchitectural features associated with hemorrhagic presentation in pediatric cerebral art...
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Component coding and the RUC

Drs Josh Hirsch, Bill Donovan and Zeke Silva are actively involved in the world of physician reimbursement through their volunteer associations with organizations like the ACR, ASNR and the RUC, amongst others. This podcast is suitable for beginners or...
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Management of subarachnoid hemorrhage with intracerebral hematoma

Rob Tarr, JNIS editor, talks to Jennifer Frontera, Neurosurgery, Mount Sinai School of Medicine, about her study showing aneurysm coiling followed by ICH evacuation is a viable alternative to clipping and ICH evacuation, for subarachnoid hemorrhage wit...
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