DVO is dead. Long live DVO!. Severe expressive aphasia
Did not see the occlusion prospectively on CTA. However with this perfusion there must be one

What is the etiology of the occlusion?

Dual aspiration, with Marksman or similar 27 at the embolus, with Sofia or similar more proximally — aspirating on both — is successful at least 50% of the time, and is highly atraumatic. If it does not work, there are other options.

It worked. The embolus was found inside the Marksman

Retrospectively… That’s a real M4

