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In the anterior circulation, short stent retrievers had a significantly higher rate of first-pass reperfusion in cases with low clot burden (mTICI 3 27% vs. 17%; p = 0.009; mTICI ≥ 2b 42 vs. 30%; p = 0.005) and in middle cerebral artery occlusions (mTICI ≥ 2b 51 vs. 41%; p = 0.024). Higher rates of favorable outcome at discharge and 90 days were observed for the short stent retriever group (p less then 0.001). Conclusion Stent retriever length should be adjusted to clot burden score and vessel occlusion site.Introduction Accumulating evi