E-219 Direct vs indirect revascularization for moyamoya: a large multicenter study

ConclusionSince both modalities showed comparable rates of overall total strokes, both modalities of revascularization can be performed depending on the patient’s risk assessment.Abstract E-219 Table 1Direct Indirect Effect variable Value (95% confidence interval) P-value Primary Outcome Symptomatic stroke, n (%) 23/198 (11.6) 19/198 (9.6) Odds ratio 1.238 (0.651 - 2.354) 0.514 Secondary Outcomes Symptomatic ischemic stroke, n (%) 23/198 (11.6) 16/198 (8.1) Odds ratio 1.495 (0.764 - 2.924) 0.240 Symptomatic hemorrhagic stroke, n (%) 0/198 (0) 3/198 (1.5) –– –– 0.248 Peri-operative stroke, n (%) 12/198 (6.1) 4/198 (2.0) Odds ratio 3.129 (0.991 - 9.875) 0.052 Peri-operative minor symptomatic stroke, n (%) 7/198 (3.5) 2/198 (1.0) Odds ratio 3.592 (0.737 - 17.508) 0.114 Peri-operative major symptomatic stroke, n (%) 5/198 (2.5) 2/198 (1.0) Odds ratio 2.539 (0.487 - 13.244) 0.269 Intra-operative complication, n (%) 14/198 (7.1) 15/198 (7.6) Odds ratio 0.928 (0.436 - 1.978) 0.847 Good functional outcome at discharge, n (%) 182/198 (91.9) 187/198 (95.4) Odds ratio 0.547 (0.236 - 1.270) 0.161 NIHSS at discharge, median (IQR) 0 (0 - 0.5) 0 (0 - 1) Beta 0.510 (-0.065 - 1.085) 0.082 Length of hospital stay, median (IQR) 3 (2 - 4) 4 (3 - 5) Beta 0.763 (-0.042 - 1.568) 0.063 Follow-up stroke, n (%) 13/198 (6.6) 16/198 (8.1) Odds ratio 0.799 (0.374 - 1.709) 0.563 ...

Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: El Naamani, K., Chen, C., Jabre, R., Saad, H., Grissberg, J., Dmytriw, A., Patel, A., Khorasanizadeh, M., Ogilvy, C., Thomas, A., Monteiro, A., Siddiqui, A., Cortez, G., Hanel, R., Porto, G., Spiotta, A., Piscopo, A., Hasan, D., Ghorbani, M., Weinberg, J. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research