Three strikes out: what do we need?

“what do we need? it is the question with which every thrombectomy should begin. sometimes the answer is an arterial access or a navigation strategy. sometimes it is an aspiration catheter, a microcatheter, a stent retriever, a thrombectomy technique. sometimes it is the decision not to treat. because thrombectomy is not a single technical problem: it is the meeting point between extracranial and intracranial, between reaching and recanalizing, between anatomy and pathology. understanding in advance where the real di_culty lies — outside or inside the skull — often means having already decided the outcome of the procedure'.