Propensity score matched analysis of nationwide outcomes for intracranial bypass and stenting for treatment of intracranial atherosclerotic disease.

ABSTRACT: Management options for refractory intracranial atherosclerotic disease (ICAD) involve intracranial stenting or bypass. By retrospectively analyzing National Inpatient Sample database data (2012-2019), we compared costs, complications, length of stay (LOS), and discharge disposition of patients who underwent elective intracranial stenting or bypass for ICAD. Analyses included propensity score matching (PSM; 1:1), multilevel mixed-effects generalized linear models, and logistic regression. Overall, 556 admissions were included (mean age 65.2 years). Patients undergoing bypass were more likely than stenting patients to be female (47.3% vs. 37.5%, p = 0.028) and to have a Charlson Comorbidity Index score ≥ 2 (77.2% vs. 61.5%, p < 0.001) but less likely to have a history of transient ischemic a

SUBMITTER: Brandel MG 

PROVIDER: S-EPMC12307610 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature