ENFR
Evidence · Networks · Clinical practice

Verified stroke evidence. Optimized stroke networks.

EUROSTROKES connects two things that too often sit apart: the evidence behind an acute-stroke decision and the network that must deliver it. We build the knowledge infrastructure, practical methods and clinical partnerships that bring both closer to every bedside.

Explore the evidence corpus Improve a stroke network
Nineteen connected stroke centres with one treatment pathway highlighted A central hub links nineteen recanalisation centres — ten drawn as filled circles for thrombectomy and thrombolysis, nine outlined for thrombolysis only — with one route traced from onset through first contact to a thrombolysis centre and on to a thrombectomy centre. ONSET FIRST CONTACT IVT EVT
19 recanalisation centres in Attica: 10 thrombectomy + thrombolysis, 9 thrombolysis only. Drawn, not mapped — the map is here.
20+Years in vascular neurology
19Attica centres mapped
10 + 9EVT and IVT centres
105PubMed-indexed publications, 2011–2026
Three readers, three routes

Who is reading?

Nothing you choose here is stored or sent — it stays in this browser tab.

Where the answers come apart

Two systems agree on the case that was randomised and diverge on the one standing in front of you.

Read the essay

LiveTextbook — three worked examples

LiveTextbook is a curated corpus of acute-stroke evidence in which every claim carries its source. Navigational guidance, not a medical device.

Read the worked cases

The gray zones, case by case

Fictional spoken referrals in the 3am voice: the cases where the guidelines go quiet, and why each one is hard.

Read the cases

The projects on this site are built — and each has one open edge.

EUROSTROKES is looking for the people who belong on those edges: clinicians who treat stroke, and companies building tools for them.

See what we're looking for →
Two doors, one standard

Clinical rigor, translated into systems that work.

For technology partners, this means evidence that can be traced, structured and used. For hospitals and networks, it means pathways that can be assessed, modelled and improved.

01

Evidence Corpus

LiveTextbook is a source-attributed clinical reasoning layer: evidence organised around the decision a clinician actually faces, with provenance and uncertainty visible by construction.

See how the corpus works
02

Network Optimization

EUROSTROKES helps stroke systems see the whole pathway—from first contact and transfer patterns to treatment capability, standards and the operating gaps between them.

Explore the method
Schematic dot-map of nineteen stroke centres in Attica A bare schematic: each centre is a dot placed by its coordinates on a dotted grid, with no basemap or coastline. Larger clay-red dots are centres offering thrombectomy and thrombolysis; smaller navy dots are thrombolysis only. A solid ring marks a public hospital, a dashed ring a military hospital, and no ring a private hospital. The full interactive map names every centre.

Approximate positions; coordinates from the map's own list.

  • Public (ΕΣΥ) — solid ring
  • Military — dashed ring
  • Private — no ring
  • Thrombectomy + thrombolysis
  • Thrombolysis only
A network made visible

Attica is the working proof.

The EUROSTROKES map turns fragmented service information into one navigable view of thrombolysis and thrombectomy capability. It is a practical tool for colleagues and a starting point for seeing how a network behaves as a system.

19Centres
10EVT + IVT
9IVT only

Open the Attica map How we work

Availability must always be confirmed directly with the relevant hospital and emergency services.

Dr. Apostolos Safouris speaking during an international stroke-care eventDr. Apostolos Safouris speaking after receiving the Angels Spirit of Excellence Award at ESOC 2024
Clinical depth, active collaboration

Built from the frontline, not around it.

EUROSTROKES is led by Dr. Apostolos Safouris, vascular neurologist and stroke specialist. The work begins with the realities of acute care: time pressure, imperfect transfers, scattered evidence and the need for decisions that remain accountable.

That clinical perspective is combined with direct building—of maps, evidence infrastructure, educational material and partnership methods.

Meet the founder
A repeatable method

Assess. Model. Optimize.

The visual language is simple because the method should be legible: establish the real baseline, model the pathway or evidence problem, then improve it with explicit safeguards and measurable outputs.

Three connected stages numbered one, two and three
Assess the current state · Model the system · Optimize what changes care.

Read the independence policy

Start with the right question

Evidence product or stroke network?

For evidence-corpus licensing, clinical-technology advisory, network assessment, research collaboration or teaching, write directly.

Choose the right contact route