In this episode of INR Stories hosted by Nanthiya Sujijantarat, Michel Frudit reflects on over 30 years in neurointervention—from his early training in France under Prof. Moret and Prof. Lasjaunias to becoming a pioneer in Brazil. He discusses the challenges of implementing mechanical thrombectomy in a system with vast disparities, the lessons learned from the RESILIENT trial, and the importance of adapting treatment protocols to local realities.

Topics discussed in this episode:

• Transitioning from neurosurgery to neurointervention and early exposure to AVM treatment
• Establishing a career and reputation in Brazil with limited resources
• The slow integration of stroke thrombectomy into Brazil’s public health system and the impact of the RESILIENT trial
• Regional inequalities in access to care and the need for localized treatment strategies
• Reflections on device evolution, simulation training, and making procedures more accessible and reproducible
• Mentorship, building national training networks, and inspiring future interventionalists
• A call for global inclusion in trials and collaboration beyond Europe and the U.S.
• The potential of a motivated new generation to transform care in emerging regions.

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