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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.<\/jats:p>","DOI":"10.1177\/15910199261497569","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:51:01Z","timestamp":1791910261000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Technical considerations in endovascular thrombectomy for distal vessel occlusions"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7184-8613","authenticated-orcid":false,"given":"Amir","family":"Molaie","sequence":"first","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nickolas","family":"Idrogo","sequence":"additional","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Kaneko","sequence":"additional","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"May","family":"Nour","sequence":"additional","affiliation":[{"name":"University of California"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Latisha","family":"Sharma","sequence":"additional","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5109-8736","authenticated-orcid":false,"given":"David S.","family":"Liebeskind","sequence":"additional","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5459-396X","authenticated-orcid":false,"given":"Gary","family":"Duckwiler","sequence":"additional","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0703-8258","authenticated-orcid":false,"given":"Viktor","family":"Szeder","sequence":"additional","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00163-X"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.028956"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2020-015807"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2408954"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2411668"},{"key":"e_1_3_2_7_2","article-title":"Guideline for the early management of patients with acute ischemic stroke: a guideline from the American Heart Association\/American Stroke Association","volume":"57","author":"Prabhakaran S","year":"2026","unstructured":"Prabhakaran S, Gonzalez NR, Zachrison KS, et al. 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