Limitations and strengths
This study’s limitations lay in its retrospective nature and patient
population’s heterogeneity, with study data solely derived from
patients’ hospital charts. We also lacked laboratory data or imaging
reports enabling us to identify subclinical abnormalities. Moreover, the
neurological assessment was solely based on clinical findings
followed-up by imaging, without any established imaging protocol
applied. The next necessary step is now a prospective study using
exhaustive data collection according to a pre-established protocol to
fully assess this surgery and perfusion technique.