Hans-Christoph Diener, MD, PhD, discusses trials with positive results presented at ESOC2023.
Dear colleagues, I am Christoph Diener from the Faculty of Medicine at the University Duisburg-Essen in Germany. This video deals with four positive studies that were presented at the European Stroke Organisation Conference in Munich at the end of May 2023. This congress was exciting because it's the first time in many years that, beyond thrombectomy, we had positive studies.. Surgical therapy of intracerebral hemorrhage was a disaster until now.
This study was positive in favor of the intervention, with an odds ratio of 0.63, and this was significant from day 7 onward. The postoperative imaging showed an 88% reduction in the volume of the bleeding. The death rate was 3.3% vs 18%. The number needed to treat for mortality was 21 and to prevent severe disability was 14.
Importantly, the therapy was not really effective for basal ganglia bleeding but mostly for lobar hemorrhages. This is an extremely important study because, for the first time, neurosurgical treatment was superior to control.
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