Please use this identifier to cite or link to this item:
http://dx.doi.org/10.25673/115330
Title: | Safety and outcomes of different endovascular treatment techniques for anterior circulation ischaemic stroke in the elderly : data from the Imperial College Thrombectomy Registry |
Author(s): | D'Anna, Lucio![]() Barba, Lorenzo Abu Rumeileh, Samir ![]() [und viele weitere] |
Issue Date: | 2024 |
Type: | Article |
Language: | English |
Abstract: | Background: Although previous studies investigated the main predictors of outcomes after endovascular thrombectomy (EVT) in patients aged 80 years and older, less is known about the impact of the procedural features on outcomes in elderly patients. The aim of this study was to investigate the influence of EVT technical procedures on the main 3-month outcomes in a population of patients aged 80 years and older. Methods: This observational, prospective, single-centre study included consecutive patients with acute LVO ischaemic stroke of the anterior circulation. The study outcomes were functional independence at 3 months after EVT (defined as a mRS score of 0–2), successful reperfusion (mTICI ≥ 2b), incidence of haeamorrhagic transformation, and 90-day all cause of mortality. Results: Our cohort included 497 patients with acute ischaemic stroke due to LVO treated with EVT. Among them, 105 (21.1%) patients were aged ≥ 80 years. In the elderly group, multivariable regression analysis showed that thromboaspiration technique vs stent-retriever was the single independent predictor of favourable post-procedural TICI score (OR = 7.65, 95%CI = 2.22–26.32, p = 0.001). Conclusions: Our study suggests that EVT for LVO stroke in the elderly could be safe. The use of thromboaspiration was associated with positive reperfusion outcome in this population. Further studies in larger series are warranted to confirm the present results and to evaluate the safety and efficacy of EVT in the elderly and oldest adults. |
URI: | https://opendata.uni-halle.de//handle/1981185920/117284 http://dx.doi.org/10.25673/115330 |
Open Access: | ![]() |
License: | ![]() |
Journal Title: | Journal of neurology |
Publisher: | Steinkopff |
Publisher Place: | [Darmstadt] |
Volume: | 271 |
Issue: | 3 |
Original Publication: | 10.1007/s00415-023-12077-3 |
Page Start: | 1366 |
Page End: | 1375 |
Appears in Collections: | Open Access Publikationen der MLU |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
s00415-023-12077-3.pdf | 697.1 kB | Adobe PDF | ![]() View/Open |