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Is discretion the better part of valor?

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  • Contributors Each author listed should receive authorship credit based on the material contribution to this article, their revision of this article, and their final approval of this article for submission to this journal.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests 880, rEB, Q-Ap,AMS: Penumbra Consulting, Honorarium, Speaker Bureau; Pulsar Vascular Consulting, Honorarium, Speaker Bureau; Microvention Consulting, Honorarium, Speaker Bureau, Research; Stryker Consulting, Honorarium, Speaker Bureau. AST: Codman Consulting, Honorarium, Speaker Bureau, Research Funding; Covidien Consulting, Honorarium, Speaker Bureau; Penumbra Consulting, Honorarium, Speaker Bureau, Research Grants; Microvention Consulting, Honorarium, Speaker Bureau, Research Grants; Blockade – Stock, Consulting, Honorarium, Speaker Bureau; Pulsar Vascular Stock, Consulting, Honorarium, Speaker Bureau, Research; Medtronic Consulting, Honorarium, Speaker Bureau. Codman Consulting, Research Grants; Penumbra Consulting, Research Grants; Microvention Consulting, Research Grants; Blockade – Stock, Consulting; Pulsar Vascular Stock, Consulting, Research Grants; Medtronic Consulting, Research Grants; Siemens Consulting. JM: National/International PI/Co-PI for the following trials: THERAPY (PI), FEAT (PI), INVEST (Co-PI), COMPASS (Co-PI), LARGE (Co-PI), COAST (Co-PI), POSITIVE (Co-PI). He is on the Steering Committee for the MAPS trial. Consultant: Rebound Therapeutics, TSP Inc,. Cerebrotech, Lazarus Effect, Pulsar, Medina; Investor: Blockade Medical, TSP Inc., Lazarus Effect, Medina. JAH: Medtronic Consulting, Codman Neurovascular DSMB service; Neiman Health Policy Institute Grant Institute. BB: Stock, Consultant, Speakers Bureau: Penumbra; Consultant: Medtronic, Stryker, Viz; % Ownership: Route 92. DF: Medical Advisory Board/Consultant/Speakers Bureau: Ceranovus, Genentech, Penumbra, Shape Memory Medical, Stryker; Research Support: Ceranovus, Medtronic, Microvention, Penumbra, Siemens, Stryker; Stock ownership: Penumbra. ASA: Consultant for Johnson and Johnson, Leica, Medtronic, Microvention, Penumbra,Scientia, Siemens, Stryker Research Support from Microvention, Penumbra and Siemens Shareholder Bendit, Cerebrotech, Endostream, Magneto, Neurogami, Serenity, Synchron and Triad Medical. Medtronic (Consultant, Proctoring), Cerenovous (Royalties, Consulting), Microvention (Consulting, Research Support), Vascular Simulations (Board Member, Stockholder), Penumbra (Research Support), Siemens (Research Support), Neurogami (Stockholder). RT: BALT International (Consultant), Blockade Medical (Consultant/Stock), Codman (Transitioning to Cerenovous (Consultant)), Medtronic (Consultant), Microvention-Terumo (Consultant), Penumbra (Consultant) Q’Apal (Consultant) Rebound Tx (Consultant), 880 Medical (Consultant).

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.