Clinical Analysis of Microvascular Reconstruction Combined With Decompressive Craniectomy in Patients With Malignant Middle Cerebral Artery Infarctions

Abstract

This study aimed to evaluate the safety and efficacy of microvascular reconstruction combined with decompressive craniectomy in patients with MMCA. We searched for patients with MMCA ,and age＜60 years old, postoperative survival of more than 3 months, consistent with decompression of bone flap removal. Patients were divided into experimental group and control group according to whether they underwent emergency vascular revascularization within 5 days after onset of ischemic stroke. A total of 6 patients were included in the treatment group and 12 patients in the control group. The NIHSS score of the treatment group was lower than that of the control group 7 days after operation, but the difference was not statistically significant;3 months after surgery, mRs score in the treatment group was lower than that in the control group, the difference was statistically significant (P=0.002); mRs scores of the treatment group 3 months after surgery were significantly different from those before surgery (P<0.05), but no such difference was found in the control group. Compared with DHC, open surgical revascularization can improve early cerebral perfusion in MMCA patients, and neurological recovery is better at 3 months after operation. By ensuring that surgeons are properly trained and hospitals are equipped, open surgical revascularization can be a treatment option for patients with MMCA.