ArticleAJNR. American journal of neuroradiology2017
Endovascular Stroke Treatment of Nonagenarians.
Article in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mechanical Thrombectomy in Nonagenarians: a Systematic Review and Meta-analysis.Translational stroke research · 2021Pooled it
- Endovascular Management of Acute Stroke in the Elderly: A Systematic Review and Meta-Analysis.AJNR. American journal of neuroradiology · 2018Pooled it
- Investigation of Mechanical Thrombectomy in Elderly Patients over 85 Years Old: A Multicenter Study.Neurologia medico-chirurgica · 2023Article
- Clinical outcome and outcome prediction of octogenarians with acute basilar artery occlusion and endovascular stroke treatment compared to younger patients.Frontiers in neurology · 2023Article
- Outcomes of reperfusion therapy for acute ischaemic stroke in patients aged 90 years or older: a retrospective study.Internal and emergency medicine · 2021Article
- Observational
- [Acute stroke treatment in old age].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Review
- Endovascular Treatment of Very Elderly Patients Aged ≥90 With Acute Ischemic Stroke.Journal of the American Heart Association · 2020Article
- [Acute stroke treatment in old age].Zeitschrift fur Gerontologie und Geriatrie · 2020Article
- Clinical Results of Mechanical Thrombectomy in Nonagenarians with Acute Ischemic Stroke.Journal of neuroendovascular therapy · 2020Article
- Prevention and Treatment of Acute Stroke in the Nonagenarians and Beyond: Medical and Ethical Issues.Current treatment options in neurology · 2019Review
- Intra-arterial Tirofiban in a Male Nonagenarian with Acute Ischemic Stroke: A Case Report.Open life sciences · 2019Article
- Retriever first embolectomy (ReFirE): An alternative approach for challenging cervical access.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017Article
- Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeAlthough endovascular treatment has become a standard therapy in patients with acute stroke, the benefit for very old patients remains uncertain. The purpose of this study was the evaluation of procedural and outcome data of patients ≥90 years undergoing endovascular stroke treatment. MATERIALS AND
methodsWe retrospectively analyzed prospectively collected data of patients ≥90 years in whom endovascular stroke treatment was performed between January 2011 and January 2016. Recanalization was assessed according to the TICI score. The clinical condition was evaluated on admission (NIHSS, prestroke mRS), at discharge (NIHSS), and after 3 months (mRS).
resultsTwenty-nine patients met the inclusion criteria for this analysis. The median prestroke mRS was 2. Successful recanalization (TICI ≥ 2b) was achieved in 22 patients (75.9%). In 9 patients, an NIHSS improvement ≥ 10 points was noted between admission and discharge. After 3 months, 17.2% of the patients had an mRS of 0-2 or exhibited prestroke mRS, and 24.1% achieved mRS 0-3. Mortality rate was 44.8%. There was only 1 minor procedure-related complication (small SAH without clinical sequelae).
conclusionsDespite high mortality rates and only moderate overall outcome, 17.2% of the patients achieved mRS 0-2 or prestroke mRS, and no serious procedure-related complications occurred. Therefore, very high age should not per se be an exclusion criterion for endovascular stroke treatment.
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