Strokectomy in Malignant Middle Cerebral Artery Infarction: A 20-Year Experience from a Tertiary Center in Taiwan

Purpose: To determine the potential benefits of strokectomy and decompressive craniectomy (DC) for patients with malignant middle cerebral artery (MCA) infarction at a tertiary center in Taiwan over a period of 20 years. Methods: In this institutional retrospective study, we reviewed the data of all patients with malignant MCA infarction who underwent DC with or without strokectomy between 2003 and 2022 at the Department of Surgery of National Taiwan University Hospital. We collected data on patient demographics, outcomes (modified Rankin scale [mRS]), and complications. Results: A total of 18 patients received a combination of DC and strokectomy (DC+S group)

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