In this episode of INR Stories, Nanthiya Sujijantarat welcomes Jan Gralla, Head and Director of the Institute of Diagnostic and Interventional Neuroradiology at the Inselspital of Bern University Hospital. He reflects on his transition from neurosurgery to endovascular neuroradiology and on how evidence-based trials transformed the field. He also shares his perspective on emerging areas such as distal thrombectomy, chronic occlusions, intracranial stenosis, and dural AV fistulas.

Key topics discussed:

• Building and organizing regional and national stroke networks, with insights from the Swiss stroke system
• Lessons learned from major stroke trials and the impact of trial design on clinical practice
• Future directions in neurointervention, including cyclic aspiration and new approaches to chronic total occlusions and intracranial stenosis
• Why dural AV fistulas and CSF venous fistulas remain among the most intellectually rewarding and underdiagnosed conditions

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