A clot removal device may include a tubular clot capture element having a first internal diameter and a clot engaging element having a second external diameter. The first diameter and the second diameter may be selected to permit the clot engaging element to be rotated within the tubular clot capture element. A method of removing a clot from a blood vessel may including delivering the tubular clot capture element and clot engaging element to a clot site such that the clot engaging element may rotate within the tubular clot engaging element.
