{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T05:56:19Z","timestamp":1792475779537,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In acute tandem occlusion, emergent stenting has recently become an endovascular treatment option combined with mechanical thrombectomy to achieve recanalization. However, data on the beneficial endovascular management of tandem occlusion in two vascular territories remain limited. The purpose of this study was to compare improvements in clinical outcomes between two vascular territories 3 months after emergent stenting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included consecutive patients with acute ischemic stroke who underwent emergent extracranial stenting at our hospital. The primary outcomes were the rate of favorable outcome at 3 months and the incidence of postprocedural hemorrhagic transformation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Posttreatment outcomes were evaluated in 145 eligible patients who underwent emergent extracranial stenting between December 2020 and June 2025. At 3 months postprocedure, 108 patients (74.5%) had favorable outcomes, of whom 97 (66.9%) achieved good outcomes. Smoking, dyslipidemia, National Institutes of Health Stroke Scale score \u226512, diffusion-weighted imaging\u2013Alberta Stroke Program Early Computed Tomography Score \u22646, and procedural complications (p\u2009&lt;\u20090.05) were significantly associated with poor outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In summary, emergent stenting for tandem occlusions involving both vascular territories appears to be an essential recanalization method associated with improved clinical outcomes at the 3-month follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261454076","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:43:28Z","timestamp":1781145808000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Tandem occlusions after emergent stenting in acute ischemic stroke: A retrospective cohort study from a comprehensive stroke center\u2019s experience (TOESIS study)"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3245-6286","authenticated-orcid":false,"given":"Thang Minh","family":"Le","sequence":"first","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh city"},{"name":"Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho city, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuong Chi","family":"Tran","sequence":"additional","affiliation":[{"name":"Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho city, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giang Luu","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho city, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nam Hoai","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh city"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tran Tran","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu, Can Tho city, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luan Bao Minh","family":"Tran","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh city"},{"name":"Deparment of Thoracic and Vascular Surgery, University Medical Center, Ho Chi Minh City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g3175"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.5469\/neuroint.2023.00213"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-010719"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtumed.2025.04.003"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.033032"},{"key":"e_1_3_7_7_2","article-title":"Management and outcome of patients with acute ischemic stroke and tandem carotid occlusion in the Escape-NA1 trial","volume":"14","author":"Marko M","year":"2021","unstructured":"Marko M, Cimflova P, Poppe AY, ESCAPE-NA1 investigatorset\u00a0al. Management and outcome of patients with acute ischemic stroke and tandem carotid occlusion in the Escape-NA1 trial. J Neurointerv Surg 2021; 14.","journal-title":"J Neurointerv Surg"},{"key":"e_1_3_7_8_2","first-page":"159101992412643","article-title":"Rescue extracranial vertebral stenting in tandem occlusions: a preliminary Vietnamese study","author":"Minh TL","year":"2024","unstructured":"Minh TL, Chi CT, Hoai NN, et\u00a0al. Rescue extracranial vertebral stenting in tandem occlusions: a preliminary Vietnamese study. Interv Neuroradiol 2024; 15910199241264342.","journal-title":"Interv Neuroradiol"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2022.01095"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.122.039797"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000037044"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199221111710"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_3_7_14_2","first-page":"6944","article-title":"Rescue intracranial stenting in acute ischemic stroke: a preliminary Vietnamese study","volume":"26","author":"Tran CC","year":"2022","unstructured":"Tran CC, Le MT, Baxter BW, et\u00a0al. Rescue intracranial stenting in acute ischemic stroke: a preliminary Vietnamese study. Eur Rev Med Pharmacol Sci 2022; 26: 6944\u20136952.","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000214067"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261454076","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605261454076","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261454076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:16:34Z","timestamp":1781298994000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605261454076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/03000605261454076"],"URL":"https:\/\/doi.org\/10.1177\/03000605261454076","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"article-number":"03000605261454076"}}