Mechanical Thrombectomy in Distal Vessels: M2s and Beyond

  • Ahmad Sweid
  • Stavropoula Tjoumakaris
  • Pascal JabbourEmail author


There has been concern that mechanical thrombectomy is less effective in distal occlusions due to reduced stentriever maneuverability in the relatively more tortuous and smaller diameter vessels. In this chapter, we discuss the most recent literature regarding distal occlusions and provide evidence-based technical recommendations for the endovascular management of such patients.


Distal vessel occlusion Acute ischemic stroke Middle cerebral artery Prognosis Reperfusion Thrombectomy 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ahmad Sweid
    • 1
  • Stavropoula Tjoumakaris
    • 1
  • Pascal Jabbour
    • 1
    Email author
  1. 1.Department of NeurosurgeryThomas Jefferson University HospitalPhiladelphiaUSA

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