Sequential-Design, Multicenter, Randomized, Controlled Trial of Early Decompressive Craniectomy in Malignant Middle Cerebral Artery Infarction (DECIMAL Trial)
Centre Hospitalier Universitaire de Bordeaux · Centre Hospitalier Universitaire de Nantes · +2 more institutions
Abstract
BACKGROUND AND PURPOSE: There is no effective medical treatment of malignant middle cerebral artery (MCA) infarction. The purpose of this clinical trial was to assess the efficacy of early decompressive craniectomy in patients with malignant MCA infarction. METHODS: We conducted in France a multicenter, randomized trial involving patients between 18 and 55 years of age with malignant MCA infarction to compare functional outcomes with or without decompressive craniectomy. A sequential, single-blind, triangular design was used to compare the rate of development of moderate disability (modified Rankin scale score
Citation impact
- FWCI
- 17.28
- Percentile
- 100%
- References
- 24
Authors
16- KVKatayoun VahediCorresponding
Centre Hospitalier Universitaire de Bordeaux, Centre Hospitalier Universitaire de Nantes, Centre Hospitalier Sainte-Anne, Imation (United States)
- ÉVÉric Vicaut
Centre Hospitalier Universitaire de Bordeaux, Centre Hospitalier Universitaire de Nantes, Centre Hospitalier Sainte-Anne, Imation (United States)
- JMJoaquim Matéo
Centre Hospitalier Universitaire de Bordeaux, Centre Hospitalier Universitaire de Nantes, Centre Hospitalier Sainte-Anne, Imation (United States)
- AKAnnie Kurtz
Centre Hospitalier Universitaire de Bordeaux, Centre Hospitalier Universitaire de Nantes, Centre Hospitalier Sainte-Anne, Imation (United States)
- MOMikael Orabi
Centre Hospitalier Universitaire de Bordeaux, Centre Hospitalier Universitaire de Nantes, Centre Hospitalier Sainte-Anne, Imation (United States)
Topics & keywords
- Medicine
- Decompressive craniectomy
- Modified Rankin Scale
- Randomized controlled trial
- Surgery
- Middle cerebral artery
- Randomization
- Stroke (engine)
- Good health and well-being