{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T14:02:11Z","timestamp":1777730531684,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T00:00:00Z","timestamp":1587945600000},"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":["Interv Neuroradiol"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mechanical thrombectomy has become the standard care for acute ischemic stroke caused by large vessel occlusion. However, complete reperfusion cannot be achieved in all cases, and several factors influencing the results of mechanical thrombectomy have been investigated. Among others, a tortuous anatomy is associated with lower rates of complete reperfusion. We aimed to investigate whether an early division of the middle cerebral artery has an impact on reperfusion results in mechanical thrombectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective review of consecutive patients with M1 occlusion treated endovascularly between January 2016 and December 2019 at three tertiary care centers. The study group was dichotomized based on the length of the M1 segment. Early division of the middle cerebral artery was defined as a maximum length of 10\u00a0mm of the M1 segment. Primary endpoints were first-pass mTICI scores of 3, \u22652c, and \u22652b. Secondary endpoints contained final reperfusion, number of device-passes, time interval from groin puncture to reperfusion, rate of postinterventional symptomatic intracranial hemorrhage, and frequency of emboli of new territory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 284 included patients, 70 presented with an early division of the M1 segment (25%). Reperfusion results did not differ significantly between early and late division of M1. A higher rate of symptomatic intracranial hemorrhage was found in the group with an early M1 division treated with aspiration only (14.3% vs. 0%; p\u2009=\u20090.013). Patients with late M1 division had a significantly higher rate of large artery sclerosis (19.2% vs. 8.6%, p\u2009=\u20090.039).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The anatomic variant of an early division of the middle cerebral artery was not a predictor for incomplete reperfusion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1591019920920987","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T23:51:31Z","timestamp":1588031491000},"page":"389-395","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of early division of the middle cerebral artery on outcome following mechanical thrombectomy"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9623-4156","authenticated-orcid":false,"given":"Hanna","family":"Styczen","sequence":"first","affiliation":[{"name":"Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volker","family":"Maus","sequence":"additional","affiliation":[{"name":"Department of Radiology, Neuroradiology and Nuclear Medicine, Ruhr-University Bochum, University Medical Center Langendreer, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Am\u00e9lie C","family":"Hesse","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Neuroradiology, University Hospital Goettingen, Goettingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Goertz","sequence":"additional","affiliation":[{"name":"Center for Neurosurgery, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Radiology, Neuroradiology and Nuclear Medicine, Ruhr-University Bochum, University Medical Center Langendreer, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Riedel","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Neuroradiology, University Hospital Goettingen, Goettingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Forsting","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Radbruch","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Behme","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Neuroradiology, University Hospital Goettingen, Goettingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,27]]},"reference":[{"key":"bibr1-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-014640"},{"key":"bibr2-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-014060"},{"key":"bibr3-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2016.01.007"},{"key":"bibr4-1591019920920987","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4222"},{"key":"bibr5-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1007\/s00062-014-0329-z"},{"key":"bibr6-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-014114"},{"key":"bibr7-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1177\/1591019919847693"},{"key":"bibr8-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.08.207"},{"key":"bibr9-1591019920920987","unstructured":"Anne GO.\n                      Diagnostic cerebral angiography.\n                      2th ed. Colombia: Lippincott Williams and Wilkins, 1999, pp.135\u2013152."},{"key":"bibr10-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.118.020700"},{"key":"bibr11-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0804656"},{"key":"bibr12-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.1.35"},{"key":"bibr13-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1148\/rg.294085730"},{"key":"bibr14-1591019920920987","first-page":"671","volume":"27","author":"Cilliers K","year":"2017","journal-title":"Turk Neurosurg"},{"key":"bibr15-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013394"},{"key":"bibr16-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1007\/s00062-018-0702-4"},{"key":"bibr17-1591019920920987","doi-asserted-by":"publisher","DOI":"10.3171\/2019.6.JNS19704"},{"key":"bibr18-1591019920920987","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011212"},{"key":"bibr19-1591019920920987","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1408"},{"key":"bibr20-1591019920920987","doi-asserted-by":"crossref","unstructured":"Broocks G, Kniep H, Schramm P, et\u00a0al. Patients with low Alberta stroke program early CT score (ASPECTS) but good collaterals benefit from endovascular recanalization.\n                      J Neurointerv Surg.\n                      2020; 12: 747\u2013752.","DOI":"10.1136\/neurintsurg-2019-015308"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1591019920920987","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1591019920920987","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1591019920920987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:58:49Z","timestamp":1777460329000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1591019920920987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,27]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1177\/1591019920920987"],"URL":"https:\/\/doi.org\/10.1177\/1591019920920987","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,27]]}}}