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Efficacy and safety of direct aspiration versus stent-retriever for recanalization in acute cerebral infarction: A PRISMA-compliant systematic review and meta-analysis
Conclusions: The results support that the direct aspiration technique for those acute ischemic stroke patients may have better functional outcomes, less procedure related-adverse events and a tendency of faster revascularization time as compared to the stent-retriever thrombectomy, with a similar successful recanalization rate. However, major limitations of current evidence (mainly from retrospective and observational studies and a small number of patients population) indicate a need for adequately powered, multicenter randomized controlled trials (RCT) to answer this question.
Source: Medicine - October 1, 2018 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Mechanical thrombectomy in acute middle cerebral artery M2 segment occlusion with regard to vessel involvement
ConclusionEVT in patients with acute M2-occlusion is safe and leads to a significant clinical improvement at discharge. No significant differences in clinical outcome or complications were found with regard to the localization of the M2-occlusion.
Source: Neurological Sciences - April 29, 2020 Category: Neurology Source Type: research

Elevated Red Cell Distribution Width is Associated with Cerebral Infarction in Aneurysmal Subarachnoid Hemorrhage
ConclusionsRDW elevation is associated with cerebral infarction and poor outcome after aSAH. Further evaluation of this association is warranted as it may shed light on mechanistic relations between anemia, inflammation, and thrombosis after aSAH.
Source: Neurocritical Care - August 15, 2016 Category: Neurology Source Type: research

Decompressive craniectomy in malignant middle cerebral artery infarction: family perception, outcome and prognostic factors.
CONCLUSIONS: We present a 21 patients group where the best outcome was achieved in patients ≤60 years old. The severe neurological sequelae in patients with malignant infarction subjected to decompressive hemicraniectomy are tolerated and accepted by most families to the benefit of survival. We must not let this family satisfaction hide the prognosis, having to contextualize it within the real ambulatory situation of the patients. PMID: 31445797 [PubMed - as supplied by publisher]
Source: Neurocirugia - August 20, 2019 Category: Neurosurgery Authors: García-Feijoo P, Isla A, Díez-Tejedor E, Mansilla B, Palpan Flores A, Sáez-Alegre M, Vivancos C Tags: Neurocirugia (Astur) Source Type: research

Decompressive craniectomy index: Does the size of decompressive craniectomy matter in malignant middle cerebral artery infarction?
CONCLUSION: In our series, the relation between bone flap size and theoretical maximum supratentorial hemicranium area (DCI) in patients with malignant MCA infarction was associated with prognosis. Further studies are necessary to confirm these findings.PMID:36600778 | PMC:PMC9805638 | DOI:10.25259/SNI_895_2022
Source: Surgical Neurology International - January 5, 2023 Category: Neurosurgery Authors: Thiago Pereira Rodrigues Mariana Athaniel Silva Rodrigues Leonardo Favi Bocca Feres Eduardo Chaddad-Neto Sergio Cavalheiro Edson Amaro Junior Gisele Sampaio Silva Italo Capraro Suriano Ricardo Silva Centeno Source Type: research

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