Cerebrovascular Session-The Evolution of Cerebrovascular Neurosurgery in Finland: A European Example

Video Transcription

Video Summary

In this video, the speaker gives the 2020 Donahi Lecture on the Evolution of Cerebrovascular Neurosurgery in Finland, from a European perspective. The speaker begins by expressing gratitude for the invitation and introduces the neurosurgeons Dr. Welch and Dr. Friedlander, acknowledging their friendship and expertise. The speaker also mentions the lack of personal acquaintance with Dr. Donahi but displays a picture of him with Professor Jasagil. The speaker recalls their time spent in Little Rock in 2000, where they learned about opening the sylveon fissure and observed surgeries. They discuss various aspects of Finland, such as being the birthplace of the real Santa Claus, having a large number of saunas, and being home to Nokia and the famous mobile game Angry Birds. They highlight Finland's shipyard industry, coffee consumption, ice hockey and Formula 1 success, and public school system. The speaker mentions Finland's low birth rate and high happiness ranking. They discuss Finland's healthcare system, emphasis on long-term follow-up studies, and the decrease in aneurysm prevalence and subarachnoid hemorrhage incidence due to reduced smoking rates. The speaker shares research on aneurysm walls and risk factors, as well as their work on an AVM database and the natural history of AVMs. They emphasize the importance of training, networking, and staying updated with advancements in endovascular treatment. The speaker describes the shift towards more endovascular procedures in Helsinki, collaboration with ENS vascular, and the need for vascular neurosurgeons and hybrids. They mention the importance of prevention and discuss the future of microsurgery, pharmaceutical therapy, and the identification of aneurysm wall types. The speaker concludes by expressing gratitude to their colleagues and organizations.

Asset Caption

Mika Niemela, MD, PhD, IFAANS

Keywords

Cerebrovascular Neurosurgery

Finland

European perspective

Aneurysm prevalence

Subarachnoid hemorrhage

Endovascular treatment