Endovascular therapy versus best medical management in distal medium middle cerebral artery acute ischaemic stroke: a multinational multicentre propensity score-matched study.
Hamza Adel SalimVivek Srikar YedavalliBasel MusmarNimer AdeebKareem E L NaamaniNils HenningerSri Hari SundararajanAnna Luisa KühnJane KhalifeSherief GhozyLuca ScarciaBenjamin Yong Qiang TanJeremy J HeitRobert W RegenhardtNicole Mariantonia CancelliereJoshua D BernstockAymeric RouchaudJens FiehlerMuhammed Amir EssibayiSunil A ShethAjit S PuriXavier BarreauMarco ColasurdoLeonardo RenieriChristian DyzmannThomas MarottaJulian SpearsAskan MowlaPascal M JabbourJoão Pedro FilipeArundhati BiswasPablo HarkerFrédéric ClarençonRăzvan Alexandru RaduJames E SieglerThanh N NguyenRicardo VarelaTakahiro OtaNestor R GonzalezMarkus A MoehlenbruchDavid AltschulBenjamin GoryVincent CostalatChristian Paul StrackeMohammad Ali Aziz-SultanConstantin HeckerHamza A ShaikhDavid S LiebeskindAmanda BakerAlessandro PedicelliAndrea AlexandreTobias D FaizyIllario TancrediErwah KalsoumBoris LubiczAman B PatelVitor Mendes PereiraAdrien GuenegoAdam Andrew Dmytriwnull nullPublished in: Journal of neurology, neurosurgery, and psychiatry (2024)
Our findings suggest that while EVT does not significantly improve functional outcomes compared with BMM in DMVO, it is associated with higher risks of haemorrhagic complications. These results support a cautious approach to the use of EVT in DMVO and highlight the need for further prospective randomised trials to refine treatment strategies.
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