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22%, P= 0.016). The number of passes was lower in patients with first-pass microcatheter insertion into M2P than in those without (1.8 ± 1.0 vs. 2.5 ± 1.5, P= 0.05). The mean diameter of M2P was significantly larger than that of the other M2 (1.9 ± 0.6 mm vs. 1.7 ± 0.5 mm, P= 0.035). The M1/M2P angle was significantly smaller than that between M1 and the other M2. (49° ± 32° vs. 67° ± 31°, P= 0.006). First-pass microcatheter insertion into M2P may contribute to fast successful recanalization in patients with M1 occlusion who undergo in