A clot removal device comprising a clot engaging structure comprising a plurality of interconnected struts forming an open cell pattern, the clot engaging structure having a radially constrained configuration and a radially expanded configuration, wherein when the clot engaging structure is in the radially expanded configuration, a first portion of the clot engaging structure is rolled about itself in a clockwise direction to form a first barrel, and a second portion of the clot engaging structure is rolled about itself in a counter-clockwise direction to form a second barrel that extends in a side-by-side configuration with the first barrel.