[Sep 09, 2025]

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There was a great interview between Dr. Emanuele Orro, Neurointerventional Radiologist at Lahey Hospital and Medical Centre, and Professor Elad Levy, Chairman and Professor of Neurosurgery at the University of Buffalo, during the 2025 LINNC congress, on the shift from inpatient treatment (overnight hospital stays) to ambulatory, same-day discharge settings for brain aneurysm procedures.

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From the perspective of cost, efficiency, scaling, and most importantly, patient preference, Professor Levy reckons future direction is clear, with this idea expanding on to other procedures.

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That said, this isn’t a one-size-fits-all solution. Careful patient selection remains critical. The ideal candidates are typically those with straightforward anatomy and few comorbidities. And of course, these centres will need to be well-prepared, having access to highly experienced physicians to perform the procedures.

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Patient care and the ability to choose is at the heart of this shift. Patients want to decide whether to undergo their procedure awake under conscious sedation, or asleep under general anaesthesia. Many prefer to remain awake and return home the same day for comfort and convenience, but anaesthesia teams must still be on standby to ensure safety.

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As more patients opt for conscious sedation in ambulatory settings, reliable positioning becomes even more important. Devices like our Head Immobiliser support this choice by helping maintain comfort, stability, and imaging outcomes throughout the procedure, ensuring the experience is as seamless as possible.

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The bottom line?

‍Ambulatory neuroendovascular care is emerging as a safe, scalable, and patient-preferred model. For now, it is limited to select cases, experienced teams, and access to anaesthesia on standby, but it’s hard not to see it as part of the future of neurointervention.

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Want more information?

Watch the interview here: Ambulatoryneurointervention for brain aneurysms, is our future now?

Learn more about our Adept Medical Head Immobiliser here: Head Immobiliser- Radiolucent patient head support

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