Decompressive craniectomy after endovascular thrombectomy in acute ischemic stroke: a systematic review - Takeaways - MDSpire

Decompressive craniectomy after endovascular thrombectomy in acute ischemic stroke: a systematic review

  • By

  • Yimin Chen

  • Mohammad Mofatteh

  • Yibei Dai

  • Yihua He

  • Shuaiyang Xiang

  • Thanh N. Nguyen

  • Leonard L. L. Yeo

  • Suyue Pan

  • July 7, 2025

  • 0 min

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  • 1

    Endovascular thrombectomy (EVT) is effective for acute ischemic stroke but some patients develop malignant MCA infarction requiring decompressive craniectomy (DC).

  • 2

    Malignant MCA infarction occurs in 1-10% of supratentorial ischemic strokes and has a fatality rate of nearly 80%, highlighting the need for timely intervention.

  • 3

    Decompressive craniectomy significantly lowers mortality and improves functional outcomes in patients with malignant MCA infarction after EVT.

  • 4

    This systematic review aims to identify risk factors for DC after EVT, guiding early decision-making and addressing gaps in current literature.

  • 5

    The review followed PRISMA guidelines and included studies published in English that investigated DC after EVT in acute ischemic stroke patients.

Original Source(s)

Decompressive craniectomy after endovascular thrombectomy in acute ischemic stroke: a systematic review

  • by Yimin Chen, Mohammad Mofatteh, Yibei Dai, Yihua He, Shuaiyang Xiang, Thanh N. Nguyen, Leonard L. L. Yeo, Suyue Pan

  • July 7, 2025

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