Jaims Lim, Andre Monteiro, Nicco Ruggiero, Ammad A Baig, Alexander O Aguirre, Matthew J McPheeters, Muhammad Waqas, Kunal Vakharia, Kenneth V Snyder, Adnan H Siddiqui, Elad I Levy, Jason M Davies
OBJECTIVE: To determine the cost-effectiveness of mechanical thrombectomy (MT) versus best medical management (BMM) in patients ≥80 years. METHODS: We performed a systematic literature review to identify comparative studies of MT vs BMM with or without intravenous tissue-type plasminogen activator (IV tPA) in patients ≥80 years. Clinical data including outcomes and mortality categorized as modified Rankin scale (mRS) scores 0-2, 3-5, and 6 were collected from identified studies, and effectiveness scores were assigned to each outcome...
April 8, 2023: World Neurosurgery