{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T03:52:50Z","timestamp":1781927570814,"version":"3.54.5"},"reference-count":19,"publisher":"The Japanese Society for Neuroendovascular Therapy","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NOUSHINKEI KEKKANNAI TIRYOU","JNET"],"published-print":{"date-parts":[[2026]]},"DOI":"10.5797\/jnet.cr.2025-0149","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T22:10:40Z","timestamp":1781561440000},"page":"n\/a","source":"Crossref","is-referenced-by-count":0,"title":["Mechanical Thrombectomy for Internal Carotid Artery Occlusion with Accessory Middle Cerebral Artery: A Case Report"],"prefix":"10.5797","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5581-5472","authenticated-orcid":false,"given":"Ryo","family":"Hiramatsu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryokichi","family":"Yagi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichiro","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junzo","family":"Nakao","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masao","family":"Fukumura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiki","family":"Fujikawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiro","family":"Kambara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Kayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironori","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Kameda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naosuke","family":"Nonoguchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motomasa","family":"Furuse","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Kawabata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihiro","family":"Takami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Ohnishi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ohnishi Neurological Center, Akashi, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiko","family":"Wanibuchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neuroendovascular Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3804","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1) Gibo H, Carver CC, Rhoton AL Jr., et al. Microsurgical anatomy of the middle cerebral artery. <i>J Neurosurg<\/i> 1981; 54: 151\u2013169.","DOI":"10.3171\/jns.1981.54.2.0151"},{"key":"2","unstructured":"2) Jain KK. Some observations on the anatomy of the middle cerebral artery. <i>Can J Surg<\/i> 1964; 7: 134\u2013139."},{"key":"3","doi-asserted-by":"crossref","unstructured":"3) Kim MS, Lee HK. The angiographic feature and clinical implication of accessory middle cerebral artery. <i>J Korean Neurosurg Soc<\/i> 2009; 45: 289\u2013292.","DOI":"10.3340\/jkns.2009.45.5.289"},{"key":"4","unstructured":"4) Komiyama M, Nakajima H, Nishikawa M, et al. Middle cerebral artery variations: duplicated and accessory arteries. <i>AJNR Am J Neuroradiol<\/i> 1998; 19: 45\u201349."},{"key":"5","unstructured":"5) Takahashi S, Hoshino F, Uemura K, et al. Accessory middle cerebral artery: is it a variant form of the recurrent artery of Heubner? <i>AJNR Am J Neuroradiol<\/i> 1989; 10: 563\u2013568."},{"key":"6","doi-asserted-by":"crossref","unstructured":"6) Liu ZS, Zhou LJ, Sun Y, et al. Sufficient collateral blood supply from accessory middle cerebral artery in a patient with acute ischemic stroke. <i>Interv Neuroradiol<\/i> 2015; 21: 215\u2013217.","DOI":"10.1177\/1591019915583230"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7) Bayer-Karpinska A, Lutz J, Birnbaum T, et al. Severe MCA stroke without MCA occlusion? Thrombectomy uncovers accessory middle cerebral artery. <i>Neurology<\/i> 2015; 85: 831\u2013832.","DOI":"10.1212\/WNL.0000000000001894"},{"key":"8","unstructured":"8) Matsunaga Y, Hayashi K, Okamura K, et al. A case of embolic infarction associated with accessory middle cerebral artery and treated using mechanical thrombectomy. <i>No Shinkei Geka<\/i> 2019; 47: 1165\u20131171. (in Japanese)"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9) Deguchi I, Osada T, Kimura H, et al. A case of acute cerebral infarction associated with an accessory middle cerebral artery in a patient who underwent thrombectomy. <i>Acute Med Surg<\/i> 2020; 7: e459.","DOI":"10.1002\/ams2.459"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10) Ray N, Dhanasekaran J, Joseph S, et al. Tandem occlusion involving accessory middle cerebral artery in acute ischaemic stroke: management strategies. <i>BMJ Case Rep<\/i> 2020; 13: e233287.","DOI":"10.1136\/bcr-2019-233287"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11) Arakawa T, Hiramatsu H, Kida S, et al. A case of acute embolism of the accessory middle cerebral artery treated using ADAPT thrombectomy without lesion passing. <i>NMC Case Rep J<\/i> 2021; 8: 805\u2013810.","DOI":"10.2176\/nmccrj.cr.2021-0150"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12) Han Q, Dong GH, Zhu EB, et al. Application of solitaire double-stent thrombectomy in the treatment of accessory middle cerebral artery occlusion: a case report. <i>Front Surg<\/i> 2025; 12: 1499918.","DOI":"10.3389\/fsurg.2025.1499918"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13) Heit JJ, Wong JH, Mofaff AM, et al. Sofia intermediate catheter and the SNAKE technique: safety and efficacy of the Sofia catheter without guidewire or microcatheter construct. <i>J Neurointerv Surg<\/i> 2018; 10: 401\u2013406.","DOI":"10.1136\/neurintsurg-2017-013256"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14) Crompton MR. The pathology of ruptured middle-cerebral aneurysms with special reference to the differences between the sexes. <i>Lancet<\/i> 1962; 280: 421\u2013425.","DOI":"10.1016\/S0140-6736(62)90281-7"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15) Teal JS, Rumbaugh CL, Bergeron RT, et al. Anomalies of the middle cerebral artery: accessory artery, duplication, and early bifurcation. <i>AJR Am J Roentgenol<\/i> 1973; 118: 567\u2013575.","DOI":"10.2214\/ajr.118.3.567"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16) Reis CV, Zabramski JM, Safavi-Abbasi S, et al. The accessory middle cerebral artery: anatomic report. <i>Neurosurgery<\/i> 2008; 63: ONS10\u2013ONS14; discussion, ONS13\u2013ONS14.","DOI":"10.1227\/01.NEU.0000315284.44157.4A"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17) Umansky F, Dujovny M, Ausman JI, et al. Anomalies and variations of the middle cerebral artery: a microanatomical study. <i>Neurosurgery<\/i> 1988; 22: 1023\u20131027.","DOI":"10.1227\/00006123-198806010-00008"},{"key":"18","doi-asserted-by":"publisher","unstructured":"18) Ueda T, Hasegawa Y, Takeuchi M, et al. Comparative analysis of outcome-associated factors following endovascular treatment for intracranial atherosclerotic disease and cardioembolism: a subanalysis of the K-NET registry. <i>Interv Neuroradiol<\/i> 2025 Aug 1. 2025. doi: 10.1177\/15910199251361304. [Epub ahead of print].","DOI":"10.1177\/15910199251361304"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19) Qiu K, Hang Y, Lv P, et al. Thrombectomy in stroke patients with large vessel occlusion and mild symptoms: insights from a multicenter observational study. <i>Transl Stroke Res<\/i> 2025; 16: 1644\u20131654.","DOI":"10.1007\/s12975-025-01337-1"}],"container-title":["Journal of Neuroendovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/jnet\/20\/1\/20_cr.2025-0149\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T03:39:44Z","timestamp":1781926784000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/jnet\/20\/1\/20_cr.2025-0149\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.5797\/jnet.cr.2025-0149","relation":{},"ISSN":["1882-4072","2186-2494"],"issn-type":[{"value":"1882-4072","type":"print"},{"value":"2186-2494","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"cr.2025-0149"}}