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Stereotactic Aspiration Acts as an Effective Treatment for Malignant Middle Cerebral Artery Infarction

OBJECTIVE: This study seeks to explore the efficacy and prognosis of stereotactic aspiration for malignant middle cerebral artery infarction (mMCAI). METHODS: A total of 50 mMCAI patients who were diagnosed and treated in our hospital from January 2018 to June 2020 were collected and then randomly d...

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Autores principales: Wang, Zhiyu, Chen, Maogang, Wang, Chong, Luo, Jinbiao, Sun, Shujie, Lu, Xiangui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9034930/
https://www.ncbi.nlm.nih.gov/pubmed/35469230
http://dx.doi.org/10.1155/2022/4373404
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author Wang, Zhiyu
Chen, Maogang
Wang, Chong
Luo, Jinbiao
Sun, Shujie
Lu, Xiangui
author_facet Wang, Zhiyu
Chen, Maogang
Wang, Chong
Luo, Jinbiao
Sun, Shujie
Lu, Xiangui
author_sort Wang, Zhiyu
collection PubMed
description OBJECTIVE: This study seeks to explore the efficacy and prognosis of stereotactic aspiration for malignant middle cerebral artery infarction (mMCAI). METHODS: A total of 50 mMCAI patients who were diagnosed and treated in our hospital from January 2018 to June 2020 were collected and then randomly divided into control group (decompressive craniectomy, n = 24) and study group (stereotactic aspiration, n = 26). After 1 and 6 months of treatment, the scores of the National Institutes of Health Stroke Scale (NIHSS), Glasgow Coma Scale (GCS), Barthel Index, and modified Rankin Scale (mRS) were used to evaluate the therapeutic effect. Additionally, the mortality and survival rates after treatment were recorded to compare the prognostic effect between the two groups. RESULTS: One month after treatment, the GCS scores and Barthel Index score increased in both the control and study groups and were significantly higher in the study group. The follow-up results at 1 and 6 months after treatment showed that in comparison with the control group, stereotactic aspiration led to a higher survival rate and lower mortality rate; the latter had superior NIHSS score and mRS score and better prognosis. CONCLUSION: In comparison with decompressive craniectomy, stereotactic aspiration shows outstanding clinical efficacy and more advantages in the treatment of mMCAI. Therefore, stereotactic aspiration is more worthy of clinical application.
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spelling pubmed-90349302022-04-24 Stereotactic Aspiration Acts as an Effective Treatment for Malignant Middle Cerebral Artery Infarction Wang, Zhiyu Chen, Maogang Wang, Chong Luo, Jinbiao Sun, Shujie Lu, Xiangui J Healthc Eng Research Article OBJECTIVE: This study seeks to explore the efficacy and prognosis of stereotactic aspiration for malignant middle cerebral artery infarction (mMCAI). METHODS: A total of 50 mMCAI patients who were diagnosed and treated in our hospital from January 2018 to June 2020 were collected and then randomly divided into control group (decompressive craniectomy, n = 24) and study group (stereotactic aspiration, n = 26). After 1 and 6 months of treatment, the scores of the National Institutes of Health Stroke Scale (NIHSS), Glasgow Coma Scale (GCS), Barthel Index, and modified Rankin Scale (mRS) were used to evaluate the therapeutic effect. Additionally, the mortality and survival rates after treatment were recorded to compare the prognostic effect between the two groups. RESULTS: One month after treatment, the GCS scores and Barthel Index score increased in both the control and study groups and were significantly higher in the study group. The follow-up results at 1 and 6 months after treatment showed that in comparison with the control group, stereotactic aspiration led to a higher survival rate and lower mortality rate; the latter had superior NIHSS score and mRS score and better prognosis. CONCLUSION: In comparison with decompressive craniectomy, stereotactic aspiration shows outstanding clinical efficacy and more advantages in the treatment of mMCAI. Therefore, stereotactic aspiration is more worthy of clinical application. Hindawi 2022-04-16 /pmc/articles/PMC9034930/ /pubmed/35469230 http://dx.doi.org/10.1155/2022/4373404 Text en Copyright © 2022 Zhiyu Wang et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Wang, Zhiyu
Chen, Maogang
Wang, Chong
Luo, Jinbiao
Sun, Shujie
Lu, Xiangui
Stereotactic Aspiration Acts as an Effective Treatment for Malignant Middle Cerebral Artery Infarction
title Stereotactic Aspiration Acts as an Effective Treatment for Malignant Middle Cerebral Artery Infarction
title_full Stereotactic Aspiration Acts as an Effective Treatment for Malignant Middle Cerebral Artery Infarction
title_fullStr Stereotactic Aspiration Acts as an Effective Treatment for Malignant Middle Cerebral Artery Infarction
title_full_unstemmed Stereotactic Aspiration Acts as an Effective Treatment for Malignant Middle Cerebral Artery Infarction
title_short Stereotactic Aspiration Acts as an Effective Treatment for Malignant Middle Cerebral Artery Infarction
title_sort stereotactic aspiration acts as an effective treatment for malignant middle cerebral artery infarction
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9034930/
https://www.ncbi.nlm.nih.gov/pubmed/35469230
http://dx.doi.org/10.1155/2022/4373404
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