Evidence map›Paper›PMID 41978768›Full record

ArticleJournal of neuroendovascular therapy2026

Efficacy of the Dual Stent Retriever Technique for Branching-Site Occlusions in Mechanical Thrombectomy.

Nobuaki Yamamoto, Yuki Yamamoto, Izumi Yamaguchi, Takeshi Miyamoto, Masaaki Korai, Kenji Shimada, Yuishin Izumi, Yasushi Takagi

Abstract read
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In one paragraph

Article in Journal of neuroendovascular therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nobuaki YamamotoDepartment of Neurology, Institute of Biomedical Sciences, Graduate School of Medicine, Tokushima University, Tokushima, Tokushima, Japan.
Yuki YamamotoDepartment of Neurology, Institute of Biomedical Sciences, Graduate School of Medicine, Tokushima University, Tokushima, Tokushima, Japan.
Izumi YamaguchiDepartment of Neurosurgery, Institute of Biomedical Sciences, Graduate School of Medicine, Tokushima University, Tokushima, Tokushima, Japan.
Takeshi MiyamotoDepartment of Neurosurgery, Institute of Biomedical Sciences, Graduate School of Medicine, Tokushima University, Tokushima, Tokushima, Japan.
Masaaki KoraiDepartment of Neurosurgery, Institute of Biomedical Sciences, Graduate School of Medicine, Tokushima University, Tokushima, Tokushima, Japan.
Kenji ShimadaDepartment of Neurosurgery, Institute of Biomedical Sciences, Graduate School of Medicine, Tokushima University, Tokushima, Tokushima, Japan.
Yuishin IzumiDepartment of Neurology, Institute of Biomedical Sciences, Graduate School of Medicine, Tokushima University, Tokushima, Tokushima, Japan.
Yasushi TakagiDepartment of Neurosurgery, Institute of Biomedical Sciences, Graduate School of Medicine, Tokushima University, Tokushima, Tokushima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Mechanical thrombectomy (MT) is an established treatment for acute ischemic stroke due to large vessel occlusion. Although achieving first-pass effect (FPE) is strongly associated with clinical outcomes, branching-site occlusions remain technically challenging and are associated with lower FPE rates. The dual stent retriever (DSR) technique has been proposed to improve thrombus engagement in branching vessel anatomy. This study aimed to evaluate the efficacy and safety of the DSR technique in patients with branching-site occlusions. Methods: We retrospectively reviewed consecutive patients with angiographically confirmed branching-site occlusions who underwent MT between January 2020 and April 2025. Patients were classified according to the first-line thrombectomy strategy into a DSR group or a single SR (SSR) group. We compared the FPE rate, procedural complications, and prognosis between the groups. Furthermore, an adjusted analysis was performed using Firth's penalized logistic regression. Results: Among 105 eligible patients, 20 were treated with the DSR technique. The rate of FPE was significantly higher in the DSR group than in the SSR group (90.0% vs. 27.1%, Conclusion: The DSR technique showed an association with higher rates of first-pass reperfusion in branching-site occlusions without a clear increase in procedural risk, indicating that it may be a feasible option in selected cases, although confirmation in prospective studies is needed.

Indexed as

branching-site occlusiondual stent retrieverfirst-pass effectlarge vessel occlusionmechanical thrombectomy

Identifiers

PMID41978768
PMCPMC13070622

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.