Advances and Technical Standards in Neurosurgery: Volume 42 by Johannes Schramm

By Johannes Schramm

This quantity of Advances and Technical criteria in Neurosurgery covers a few very important new advancements in sensible neurosurgery and endovascular treatment. within the Technical criteria part numerous issues are thought of, together with optic pathway gliomas, pineal lesions, cavernous sinus meningiomas and the everlasting challenge of teenage and repetitive head damage. Endovascular therapy of a number of lesions is now universal perform and the cutting-edge in endovascular therapy for acute ischemic stroke is reviewed. An appraisal of the proof on even if there's a position for microsurgical vascular decompression for crucial high blood pressure increases fascinating questions. the quantity is done by means of contributions on neurosurgical therapy of cluster complications and occipital nerve stimulation.

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Nevertheless, it offers the largest prospective collection of data on mechanical embolectomy. In addition, using the registry, subsets previously too small for analysis could be analyzed, such as effect of intubation on outcome and time windows of treatment and procedure duration. The authors concluded that the real-world unconstrained experience with the MERCI embolectomy device for AIS yields similar clinical outcomes, safety data, and recanalization rates to those observed in previous trial studies.

The findings were compared with the pooled MERCI/Multi-MERCI cohort of 305 patients. 9 vs. 0001), with no significant difference in comorbidities or medical history. 28 h vs. 2 % vs. 1 % vs. 001). 2 %). 8 % vs. 5 % vs. 9 % received glycoprotein IIb/IIIa antagonists. 7 %). 0001). There was no significant difference between the groups in favorable day-90 mRS score (≤2) or day-90 mortality (29–32 % vs. 2 % vs. 8 %). 0004). It should be noted that the MERCI Registry study had several important limitations: nonrandomized cohort, nonmandatory consecutive enrollment, self-reported data, lack of a control group precluding comparisons with standard medical therapy, and lack of a core laboratory review.

5 % vs. 9 % received glycoprotein IIb/IIIa antagonists. 7 %). 0001). There was no significant difference between the groups in favorable day-90 mRS score (≤2) or day-90 mortality (29–32 % vs. 2 % vs. 8 %). 0004). It should be noted that the MERCI Registry study had several important limitations: nonrandomized cohort, nonmandatory consecutive enrollment, self-reported data, lack of a control group precluding comparisons with standard medical therapy, and lack of a core laboratory review. Nevertheless, it offers the largest prospective collection of data on mechanical embolectomy.

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