Technical considerations in endovascular thrombectomy for distal vessel occlusions

The role of endovascular thrombectomy (EVT) in acute ischemic stroke due to distal vessel occlusions (DVOs) remains to be clarified. Anatomical complexities in the distal vasculature, such as tortuosity and vessel fragility, render technique selection particularly paramount during EVT. Herein, we present two illustrative cases of anatomically similar DVOs treated with two different techniques at a single institution to frame a discussion of important procedural considerations during EVT for DVO.

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Publication Details

Journal
Interventional Neuroradiology
Published
2026-10-13
DOI
https://doi.org/10.1177/15910199261497569
Primary Topic
Acute Ischemic Stroke Management
Type
article
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article

Technical considerations in endovascular thrombectomy for distal vessel occlusions

David S. Liebeskind, May Nour, Naoki Kaneko, Gary Duckwiler et al.
Interventional Neuroradiology
Acute Ischemic Stroke Management
article

Technical considerations in endovascular thrombectomy for distal vessel occlusions

David S. Liebeskind, May Nour, Naoki Kaneko, Gary Duckwiler, Viktor Szeder, Amir M. Molaie, Latisha Sharma, Nickolas Idrogo
article en

Abstract

The role of endovascular thrombectomy (EVT) in acute ischemic stroke due to distal vessel occlusions (DVOs) remains to be clarified. Anatomical complexities in the distal vasculature, such as tortuosity and vessel fragility, render technique selection particularly paramount during EVT. Herein, we present two illustrative cases of anatomically similar DVOs treated with two different techniques at a single institution to frame a discussion of important procedural considerations during EVT for DVO.

Interventional Neuroradiology
Openalex Percentile: Top 12%
Acute Ischemic Stroke Management
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