Randomized Trialhigh evidence

Mechanical Thrombectomy in Ischemic Stroke With a Medium or Distal Arterial Occlusion: The DISCOUNT Randomized Clinical Trial.

JAMA·July 22, 2026·PMID 42485024

Why it matters

Medium and distal vessel occlusions account for a substantial proportion of acute ischemic strokes, yet evidence for thrombectomy in this population has been limited. This trial provides high-quality data that thrombectomy does not improve functional outcomes and increases hemorrhagic complications, directly informing treatment decisions for these patients.

Infographic summary of Mechanical Thrombectomy in Ischemic Stroke With a Medium or Distal Arterial Occlusion: The DISCOUNT Randomized Clinical Trial.
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