The apparent origin of a perforator on angiography actually shifted! Is the authors' hypothesis plausible? I'd love to hear your thoughts. Regardless, this case is important: serial angiography revealed a potential treatment opportunity for an aneurysm once deemed untreatable.

Rare spontaneous closure of a jugular tubercle intraosseous AVF: Pulsatile tinnitus resolved after DSA, with closure confirmed at 1 month. A single, stenotic PCV drainer may have favored thrombosis. Yet symptom relief may also signal dangerous venous rerouting—check imaging.

Delayed pseudoaneurysm at the proximal stent edge 1 month after CAS for a heavily calcified lesion. Compliance mismatch between a rigid CCA and a compliant ICA may concentrate stress at the stent edge. Lesson: gentle post-dilation and early imaging follow-up.

A 5-year-old boy with Mycoplasma pneumoniae pneumonia developed vertebrobasilar occlusion and was successfully treated with mechanical thrombectomy. This case highlights the feasibility and potential efficacy of thrombectomy in selected pediatric patients with LVO.

This innovative report addresses an area where the efficacy of endovascular treatment for chronic vertebral artery occlusion remains uncertain. Automated perfusion imaging may provide an objective tool to identify patients who could benefit from revascularization.

A clear and concise review of perioperative antiplatelet therapy for FD placement, covering its mechanisms, limitations, and latest findings. Could the current “standard” of antiplatelet therapy soon change? This review offers valuable insights into where we may be heading.

Achieving a sub-60-min door-to-puncture time is possible even with an MRI-first stroke workflow! Streamlined workflow reduced median D2P time from 76 to 55 minutes, significantly improving 90-day excellent functional outcomes.

Very interesting case of a rare convexity DAVF with a concomitant PAVF sharing the vein of Labbé. Single-session transarterial Onyx embolization achieved complete occlusion of both lesions. Highly relevant for understanding complex angioarchitecture and treatment strategy.

TACT-MeVO introduces a short-distance retrieval concept for M2 thrombectomy, potentially reducing vessel traction during combined techniques. It may serve as a useful alternative strategy for minimizing mechanical stress on distal vessels.

A promising incisionless approach to high-flow scalp AVF! Stepwise flow control, coil-assisted NBCA embolization and percutaneous ligation achieved complete obliteration at 12 months without skin necrosis in this case.

A remarkably rare case of cervical radiculopathy caused by a venous varix associated with an ACC dAVF—something I had never seen before. The transvenous approach via the vertebral venous plexus and the subsequent need for direct surgical decompression are both highly instructive.

Onyx embolization for a tentorial dAVF through a brutally tortuous OA. Key tricks: S‑shaped wire tip + balloon‑assisted intermediate catheter push. Techniques I’d definitely want to try in my own cases.

JUST PUBLISHED in JNET! A challenging residual anterior cranial fossa DAVF after prior TAE—could TVE be the way forward? Careful navigation through a fragile, tortuous cortical vein enabled access to the shunt and complete Onyx obliteration.

A new paper introduces B-DAT (Buddy Wire-Supported DAC Advancement Technique). It anchors a buddy wire in the brachial artery to stabilize the guide catheter, enabling safe DAC insertion into the VA. 100% success in 10 difficult cases with 0 complications!

Medilizer enabled bailout guiding catheter exchange while preserving distal access after unexpected balloon-guiding catheter rupture. This case highlights distal anchoring as a useful strategy for safe device exchange during neuroendovascular procedures!!

Although FD has become widely used, this article provides a comprehensive summary-from an expert’s perspective and based on evidence-of its current limitations. In particular, a solution is required for partially thrombosed aneurysms and dolichoectatic aneurysms.

Can carotid stenting be performed without stopping DOACs or routine triple therapy? In 10 patients with AF, uninterrupted DOAC + single antiplatelet therapy achieved 100% procedural success, with no symptomatic thromboembolic or major bleeding events at 3 months.

An intraoperative AI system detected flow-directed microcatheter tip markers in real time during MMA embolization for chronic subdural hematoma. In 10 cases/25 scenes, precision was 95% and detection rate 50%, suggesting potential support when fluoroscopic visibility is limited.

It is worth keeping in mind that PTA may be an effective treatment option for intracranial GCA, depending on the lesion location and timing. This case nicely illustrates its potential role in selected patients with rapidly progressive stenosis.

The value of this paper is not the access route itself, but the technical refinement of the hybrid strategy: SMCV cut-down access, 3-Fr sheath fixation, and stable catheter positioning within the CS. Rare indication, but worth understanding before the day you need it.