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INSPIRE - S
Stroke registry

 

The Medtronic commitment to delivering high-quality data.

INSPIRE-S reflects this commitment, supported by real-world data, core lab and CEC adjudication and the registry is endorsed by ESMINT. It evaluates three first-line techniques for endovascular thrombectomy.

Solitaire platinum

Stent retriever only

Solitaire™ X revascularization device and Solitaire™ Platinum revascularization device
 

React 68 catheter

Aspiration only

React™ 68/71 catheters


 

Solitaire X product illustration with grey background circle

Combination therapy

Solitaire™ revascularization device† and React™ 68/71 catheters (or market-approved aspiration catheter)

Excellent real-world safety and efficacy outcomes


The Solitaire™ revascularization device and React™ catheter deliver excellent real-world outcomes, with consistent results and a strong safety record.

55.1%

mRS 0-2 
at 90 days

73.5%

Final successful revascularization* 
eTICI ≥2c

46.5%

First pass ** 
eTICI ≥2c

1.5%

Symptomatic intracranial hemorrhage 
24 hours

Our results are supported by core lab and CEC adjudication, and the registry has received endorsement from ESMINT.

802 patients
29 sites - 13 countries

Inspire- S map left side: Europe, Africa, Americas
Inspire- S map right side: Asia, Oceania

Outcome by cohort

Outcome All n=802
Combination
therapy n=397
Stent retriever
only n=259
Aspiration only
n=146

mRS 0-2 or return to pre-stroke mRS at 90 days

57.1%

56.6%

60.5%

52.8%

mRS 0-2 at 90 days

55.1%

53.9%

58.9%

51.4%

First pass revascularization

          eTICI ≥2b50

61.6%

60.4%

64.6%

54.9%

          eTICI ≥2c

46.5%

47.5%

48.6%

39.9%

Final revascularization

          eTICI ≥2b50

11.8%

23.9%

0.0%

0.0%

          eTICI ≥2c

73.5%

72.0%

77.4%

70.6%

sICH (24 hours)§¶

1.5%

1.5%

1.5%

1.4%

Good clinical outcomes

Acute ischemic stroke mRS scores
Acute ischemic stroke main clinical effectiveness outcomes
Death is imputed to 6. A total of 770 patients (380 for Combination, 248 for Stent Retriever-only, 142 for Aspiration-only) had mRS data at 90 days.

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Limitations:
 This data is being presented in advance of publication in a peer-reviewed journal, so its review is limited to the steering committee and registry sponsor. Data is subject to change upon final publication.

* Final revascularization eTICI≥2c 585/796 patients.

** First pass eTICI≥2c 370/796 patients

† Includes Solitaire™ X revascularization device, primarily, with Solitaire™ Platinum revascularization device.

‡ A total of 796 patients had core lab data available. Sample size is 796 for all, 396 for combination therapy, 257 for stent retriever only, and 143 for aspiration only.

§ CEC-adjudicated.

¶ sICH: Defined as any intracranial hemorrhage with an increase of 4 points or more in the NIHSS score within the 24 hours post-procedure visit window, or that led to death and that was identified as the predominant cause of the neurologic deterioration.

1

Data on file; 2024 09 19 NTF_INSPIRE S EMEA Primary Results Data Release. 

This material should not be considered the exclusive source of information, it does not replace or supersede information contained in the device manual(s).

Please note that the intended use of a product may vary depending on geographical approvals.

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