Endovascular Therapy for Acute Ischemic Stroke With Occlusion of the Middle Cerebral Artery M2 Segment
Author(s) -
Amrou Sarraj,
Navdeep Sangha,
Muhammad Shazam Hussain,
Dolora Wisco,
Nirav Vora,
Lucas Elijovich,
Nitin Goyal,
Michael Abraham,
Manoj Mittal,
Lei Feng,
Abel Wu,
Vallabh Janardhan,
Suman Nalluri,
Albert J. Yoo,
Megan George,
Randall C. Edgell,
Rutvij Shah,
Clark Sitton,
Emilio P. Supsupin,
Suhas Bajgur,
Mary Carter Denny,
Peng R. Chen,
Mark Dannenbaum,
Sheryl MartinSchild,
Sean I. Savitz,
Rishi Gupta
Publication year - 2016
Publication title -
jama neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.298
H-Index - 231
eISSN - 2168-6157
pISSN - 2168-6149
DOI - 10.1001/jamaneurol.2016.2773
Subject(s) - medicine , modified rankin scale , stroke (engine) , cohort , randomized controlled trial , retrospective cohort study , middle cerebral artery , cardiology , surgery , ischemic stroke , ischemia , mechanical engineering , engineering
Randomized clinical trials have shown the superiority of endovascular therapy (EVT) compared with best medical management for acute ischemic strokes with large vessel occlusion (LVO) in the anterior circulation. However, of 1287 patients enrolled in 5 trials, 94 with isolated second (M2) segment occlusions were randomized and 51 of these received EVT, thereby limiting evidence for treating isolated M2 segment occlusions as reflected in American Heart Association guidelines.
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