Research ArticleORIGINAL RESEARCH
Contemporary Results of Mechanical Thrombectomy and Impact of First-Line Technique on Outcome: The INSPIRE-S Global Registry
Marc Rodrigo-Gisbert, Marc Ribo, Markus Möhlenbruch, Sanjeev Nayak, Christophe Cognard, Jens Fiehler, Luc Defreyne, Eva González, Pedro Vega, Anderson Tsang, David Orion, Piotr Piasecki, Manuel Ribeiro, Andrés Fernández-Prieto, Jean C. Gentric, Oscar Vila, Samer Elsheikh, Charlotte Barbier, Paolo Machi, Luc Stockx, Vincent Costalat, Pedro Lylyk, Alejandro González, Konstantinos Lagios, Olivier Naggara, Laurent Spelle, Jose A. Larrea, Omer F. Eker, Kyriakos Lobotesis, Riitta Rautio and Pasquale Mordasini
American Journal of Neuroradiology June 2025, ajnr.A8848; DOI: https://doi.org/10.3174/ajnr.A8848
Marc Rodrigo-Gisbert
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Marc Ribo
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Markus Möhlenbruch
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Sanjeev Nayak
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Christophe Cognard
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Jens Fiehler
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Luc Defreyne
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Eva González
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Pedro Vega
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Anderson Tsang
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
David Orion
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Piotr Piasecki
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Manuel Ribeiro
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Andrés Fernández-Prieto
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Jean C. Gentric
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Oscar Vila
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Samer Elsheikh
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Charlotte Barbier
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Paolo Machi
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Luc Stockx
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Vincent Costalat
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Pedro Lylyk
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Alejandro González
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Konstantinos Lagios
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Olivier Naggara
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Laurent Spelle
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Jose A. Larrea
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Omer F. Eker
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Kyriakos Lobotesis
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Riitta Rautio
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Pasquale Mordasini
From the Stroke Unit, Department of Neurology (M.R.G., M.R.), Hospital Universitari Vall d’Hebron, Barcelona, Spain; Department of Neuroradiology (M.M.), Heidelberg University Hospital, Heidelberg, Germany; Department of Neuroradiology (S.N.), Royal Stoke University Hospital, Stoke-on-Trent United Kingdom; Department of Diagnostic Neuroradiology (C.C), Hôpital Purpan, Centre Hospitalier Universitaire, Toulouse, France; Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Department of Interventional Radiology (L.D.), University Hospital of Gent. Gent, Belgium; Interventional Neuroradiology, Department of Radiology (E.G.), Hospital Cruces, Bilbao, Spain; Interventional Neuroradiology, Department of Radiology (P.V.), Hospital Universitario Central de Asturias, Spain; The University of Hong Kong (A.T.), Hong Kong; Sheba Medical Center (D.O.), Israel; Military Medical Institute (P.P), Poland; Centro Hospitalar Vilanova de Gaia (M.R.), Portugal; Hospital Universitario de La Paz (A.F.P.), Madrid, Spain; CHRU Brest -Hôpital de la Cavale Blanche (J.C.G.), France; Hospital Alvaro Cunquiero (O.V.), Vigo, Spain; University Freiburg Klinik fur Neuroradiologie (S.E.), Germany; Centre Hospitalier Universitaire de Caen (C.B.), France; University hospital of Geneva (P.M.), Switzerland; Ziekenhuis Oost Limburg -Campus Sint-Jan (L.S.), Belgium; Centre Hospitalier Universitaire de Montpellier -Hôpital Gui de Chauliac (V.C.), France; Endovascular Neurosurgery and Interventional Radiology Team (P.L.), La Sagrada Familia Clinic, Buenos Aires, Argentina; Interventional Neuroradiology, Department of Radiology (A.G.), Hospital Virgen del Rocío, Spain; Hellenic Airforce 251 General Hospital (K.L.), Greece; Université Paris Cité (O.N.), Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMABRAIN, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Neuroradiology Department F-75014 Paris, France; Assistance Publique -Hôpitaux de Paris -Hôpital Bicêtre (L.S.), France; Hospital Universitario Donostia (J.A.L.), Spain; Hôpital Neurologique Pierre Wertheimer (O.F.E.), Hospices Civils de Lyon, Bron, France; Imperial Colleage Healthcare -Charing Cross Hospital (K.L.), UK; Turun Yliopistollinen keskussairaala (R.R.), Finland; and University Institute of Diagnostic and Interventional Neuroradiology (P.M.), Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
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ABSTRACT
BACKGROUND AND PURPOSE: Three mechanical thrombectomy (MT) techniques are predominantly used for the treatment of acute ischemic stroke (AIS): stent retriever (SR) alone, aspiration (ASP) alone, and combination therapy (CT) with a general goal of achieving first-pass reperfusion (FPR: eTICI≥2c). Factors influencing FPR and the relative efficacy and safety of the 3 techniques are loosely understood.
MATERIALS AND METHODS: INSPIRE-S is a prospective, imaging core-lab adjudicated, safety clinical events committee adjudicated, global registry of AIS patients treated with Medtronic Neurovascular devices on the first pass and grouped according to first-pass MT technique.
RESULTS: From May 2020 through December 2022, 802 patients (29 sites, 13 countries) who met eligibility criteria were enrolled in the INSPIRE-S registry and were grouped by first-pass MT technique (259 in SR, 146 in ASP, and 397 in CT). Overall, MCA-M1/M2 occlusions were present in 76.1% of patients, and the mean number of passes was 1.9±1.3. Among the techniques, the primary endpoint, good clinical outcome (mRS≤ 2 or mRS≤ pre-stroke mRS) at 90 days was achieved in 60.5% in SR, 52.8% in ASP, and 56.6% in CT (p>0.05 in unadjusted and adjusted analyses). The FPR rates were 48.6% in SR, 39.9% in ASP, and 47.5% in CT (p>0.05), and final complete (eTICI≥2c) reperfusion rates were 77.4% in SR, 70.6% in ASP, and 72.0% in CT (p>0.05 in adjusted analyses). In subgroup analyses by occlusion location, ASP had the lowest FPR in the ICA (p=0.003), while ASP was more frequently employed than SR for ICA (p=0.03). There was no significant difference in FPR among techniques when patients were treated with site-preferred technique. The overall rates of CEC-adjudicated all-cause mortality (14.0%) and sICH (1.5%) did not significantly differ among the techniques.
CONCLUSIONS: The primary results of real-world data from INSPIRE-S showed overall high rates of first pass complete reperfusion and final clinical outcomes that were similar among the 3 MT techniques.
ABBREVIATIONS: AIS＝ Acute Ischemic Stroke; CT＝ Combined technique; ASP＝ Aspiration alone; LVO＝ Large vessel occlusion; MT＝ Mechanical Thrombectomy; SR＝ Stent Retriever alone.
Footnotes
Medtronic Neurovascular Clinical Affairs assisted with data analysis. MR reported receiving personal fees from Anaconda Biomed, AptaTargets, Cerenovus, Medtronic, Methinks, Philips, Sanofi, Stryker, Balt, and Rapid AI outside the submitted work; he has a modest ownership of NoraHealth. CC reports consulting fees from Medtronic. MM reports grants from Balt, Medtronic, MicroVention, and Stryker; consulting fees from Siemens; and support for attending meetings or travel from Europa Group. JF reports funding from the European Commission; personal consulting fees from Acandis, Cerenovus, Medtronic, Microvention, Phenox, Stryker, and Roche; consulting at Philips (no payments); payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from Penumbra and Tonbridge; support for attending meetings or travel from Medtronic and Penumbra; stock or stock options from Tegus Medical, Eppdata, and Vastrax; and participation in a Data Safety Monitoring Board or Advisory Board at Phenox (personal fees) and Stryker (personal fees) and is a past president of ESMINT. The other authors report no conflicts of interest. PM reports receipt of research support from Siemens, Cerenovus, iSchmaview, Medtronic, Stryker, the Swiss Heart Foundation and the Swiss National Foundation, and receipt of consultant fees from Medtronic, Cerenovus, Phenox and Microvention during the conduct of the study, unrelated to the submitted work. Medtronic Neurovascular Clinical Affairs funded the INSPIRE-S Registry.
- © 2025 by American Journal of Neuroradiology
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Accepted Manuscript
Marc Rodrigo-Gisbert, Marc Ribo, Markus Möhlenbruch, Sanjeev Nayak, Christophe Cognard, Jens Fiehler, Luc Defreyne, Eva González, Pedro Vega, Anderson Tsang, David Orion, Piotr Piasecki, Manuel Ribeiro, Andrés Fernández-Prieto, Jean C. Gentric, Oscar Vila, Samer Elsheikh, Charlotte Barbier, Paolo Machi, Luc Stockx, Vincent Costalat, Pedro Lylyk, Alejandro González, Konstantinos Lagios, Olivier Naggara, Laurent Spelle, Jose A. Larrea, Omer F. Eker, Kyriakos Lobotesis, Riitta Rautio, Pasquale Mordasini
Contemporary Results of Mechanical Thrombectomy and Impact of First-Line Technique on Outcome: The INSPIRE-S Global Registry
American Journal of Neuroradiology Jun 2025, ajnr.A8848; DOI: 10.3174/ajnr.A8848
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Accepted Manuscript
Contemporary Results of Mechanical Thrombectomy and Impact of First-Line Technique on Outcome: The INSPIRE-S Global Registry
Marc Rodrigo-Gisbert, Marc Ribo, Markus Möhlenbruch, Sanjeev Nayak, Christophe Cognard, Jens Fiehler, Luc Defreyne, Eva González, Pedro Vega, Anderson Tsang, David Orion, Piotr Piasecki, Manuel Ribeiro, Andrés Fernández-Prieto, Jean C. Gentric, Oscar Vila, Samer Elsheikh, Charlotte Barbier, Paolo Machi, Luc Stockx, Vincent Costalat, Pedro Lylyk, Alejandro González, Konstantinos Lagios, Olivier Naggara, Laurent Spelle, Jose A. Larrea, Omer F. Eker, Kyriakos Lobotesis, Riitta Rautio, Pasquale Mordasini
American Journal of Neuroradiology Jun 2025, ajnr.A8848; DOI: 10.3174/ajnr.A8848
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