Endovascular therapy versus medical management in posterior cerebral artery stroke: neurological gains without functional superiority: a meta-analysis.

ABSTRACT:

Background

Posterior cerebral artery (PCA) infarctions represent 5-10% of all acute ischemic strokes, often manifesting with visual and cognitive deficits that can substantially impair quality of life. Although endovascular thrombectomy (EVT) is an established treatment for large-vessel occlusions, its role in isolated PCA occlusion remains uncertain, with limited evidence and heterogeneous outcomes across studies. We conducted this systematic review and meta-analysis to compare the effictiveness and safety of EVT versus medical management (MM) in patients with acute PCA occlusion.

Methods

A systematic review and meta-analysis was conducted according to PRISMA guidelines. PubMed, Scopus, and Web of Science were searched until July 2025. Eligible studies included randomized o

SUBMITTER: Moawad MHED 

PROVIDER: S-EPMC12709783 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature