Table 4.
Comparative clinical studies using intravenous milrinone for vasospasm and DCI following aneurysmal subarachnoid hemorrhage
| Author, year | Type of study | Total number of patients | Additional measures in milrinone group | Measures in control group | Primary outcome | Result |
|---|---|---|---|---|---|---|
| Soliman, 2019 [28] | Prospective, preventive, randomized | 90 | None, i.v. milrinone for 21 days | Intravenous magnesium for 21 days | TCD flow velocity < 120 cm/s, DCI | Magnesium better in terms of TCD and occurrence of DCI |
| Rouanet, 2021 [23] | Prospective, observational | 21 | None | Norepinephrine | TCD values and NIHSS at 45 and 90 min | TCD value lower in milrinone group, no clinical difference |
| Labeyrie, 2021 [13] | Retrospective two site comparison | 200 | Balloon angioplasty | Induced hypertension | 1-month mortality, 6-month mRS 0–2, brain infarction | No or minimal difference between strategies |
| Lakhal, 2021 [14] | Retrospective historical comparison | 94 | Induced hypertension | Hypertension alone | 6-month mRS 2–6, brain infarction | mRS 2–6 and infarction 75% lower in treatment group |