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Modern infantry combat motto. If you can’t move, you get pinned down but if you move too fast you get outflanked and surrounded.
The milestone trials1 in 2015 showed that patients with large vessel occlusion can be effectively treated to prevent future disability and, to a certain extent, their mortality. Large vessel occlusion thrombectomy opened the doors of a new era in neurointerventional surgery, in which small departments, often handled by one or two operators, had to pivot and face a steady, continuous increase in the number of procedures two- or threefold their usual capacity.
Stroke can also be held accountable for a ‘snowball effect’. In just a few years, it propelled rapid evolution and major technological advancements in stentrievers, aspiration and balloon catheters, and other devices. The landscape in the angiography suite also rapidly shifted. From long, dilligent procedures during which the most arduous and sometimes acrobatic challenge was safe catheterization of a ‘large intracranial vessel’, we are now expected and often able to catheterize an intracranial vessel, such an M2 branch, with a …
Contributors MC and DG conceived the idea. MC drafted the manuscript. DG revised the manuscript.
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 DG reports grants from Microvention, the Focused Ultrasound Foundation, the NIH, and University Calgary/NoNo Therapeutics. MG declares no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Provenance and peer review Not commissioned; internally peer reviewed.
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