Safety and Efficacy of Mechanical Thrombectomy in 2 Cases of Acute Ischemic Stroke in Centennial Patients.
Publication/Presentation Date
7-1-2019
Abstract
BACKGROUND: Mechanical thrombectomy (MT) became a standard of care for stroke patients after the positive results of 5 randomized trials in 2015. However, elderly patients >65 were excluded from those trials. Recent studies and clinical trials examining the efficacy of MT in patients older than the age of 85 have shown that good outcomes can be achieved with careful patient selection.
CASE DESCRIPTION: Two patients older than the age of 100 who presented with stroke were treated with MT. Although the cases were different in baseline neurologic status, surgical history, and gender, both achieved successful procedures.
CONCLUSION: We believe that MT in centennials is technically safe and effective and should be considered. In this age group a careful assessment of existing medical condition and a thorough discussion with the family about goals of care is of paramount importance to optimize clinical outcomes.
Volume
127
First Page
362
Last Page
365
ISSN
1878-8769
Published In/Presented At
Sweid, A., Hauge, J., Gooch, M. R., Jabbour, P., Rosenwasser, R. H., & Tjoumakaris, S. (2019). Safety and Efficacy of Mechanical Thrombectomy in 2 Cases of Acute Ischemic Stroke in Centennial Patients. World neurosurgery, 127, 362–365. https://doi.org/10.1016/j.wneu.2019.04.123
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
31009787
Department(s)
Administration and Leadership
Document Type
Article