Purpose Stent retriever-based mechanical thrombectomy (MT) for emergent large vessel
occlusions (ELVO) is often complicated by thrombus fragmentation causing distal
embolization and embolization to new vascular territories. Well-established embolic
protection approaches include proximal flow arrest and distal aspiration techniques during
stent retriever maneuvers. Aiming at the reduction of thrombus fragmentation during MT we
evaluated a technical approach combining proximal balloon occlusion together with direct …