This expert discussion from ESOC 2026 explores the evolving role of advanced imaging directly within the angio suite and its growing impact on acute stroke workflows and endovascular treatment decision-making.
Prof.Johannes Kaesmacher (University Hospital Bern) and Prof. Marios Psychogios (University Hospital Basel) discuss the clinical value of intraprocedural perfusion imaging using flat panel CT technology, including its application in thrombectomy, distal vessel occlusions, haemorrhage detection, post-procedural assessment, and individualised patient management.
The conversation also examines findings from the SPINNERS trial evaluating the use of SyncoDynaCT Sign Spin and Multiphase imaging for haemorrhage exclusion in acute stroke patients, alongside the future development of “one-stop” stroke pathways within the angio suite.
Key topics covered include:
• Intraprocedural perfusion imaging in acute stroke treatment
• One-stop stroke workflows and angio suite imaging
• Detection of distal vessel occlusions and haemodynamic assessment
• Post-thrombectomy decision-making and personalised treatment strategies
• SPINNERS trial insights and haemorrhage detection
• Standardisation of imaging acquisition and workflow optimisation
• The future of stroke imaging and integrated angio-based stroke care
Recorded at ESOC 2026 as part of the ESOC TV Studios in partnership with Oruen.
Many thanks to Siemens Healthineers for supporting this video.