Takeaway
Patients treated with endovascular therapy (EVT) for occlusion to the distal, medium vessel had a slightly improved likelihood of excellent outcome at 3 months compared to those who received medical management (MM) alone.
Why this matters
Endovascular therapy has become the standard of care for acute large-vessel occlusion in the proximal anterior circulation.
However, the efficacy and safety of EVT in primary distal, medium vessel occlusions (DMVO) is not well understood and a greater understanding could lead to better patient outcomes.