Long live distal thrombectomy. This is 2026 and we know what is right.

With honest assessment and right tools

Presentation is right MCA syndrome

What is interesting here?

Hint

Angio — anything interesting?

Post aspiration. TICI 2B? 2C?

Not really… take a look at this — most of the MCA is closed

M3, M3, and M4 occlusions. Done and done? of course not.

Distal thrombectomy with Socrates and Colossus

Branch 1

Branch 2

Post 2 of 3. Done and done? Or should we reopen the Rolandic Branch now?

Now this is a real TICI 2C

What is left? Why? Did you see it before?

CT

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