A clot removal device and method for removing a clot from a blood vessel are provided, where the clot removal device includes a shaft and an elongate clot engagement element having one end connected to the shaft and a distal end remote from the end connected to the shaft, and where the shaft and elongate clot engagement element having a principal longitudinal axis. Further, the distal end can include an end formation forming a curved contact surface at the distal end, and the end formation can be displaced to one side of the principal longitudinal axis.