Predictors of outcome after mechanical thrombectomy for anterior circulation large vessel occlusion in patients aged ≥80 years

Cerebrovascular Diseases

Volumn 36, Issue , 2013, Pages 430-436

  Kurre, Wiebke ^a   Aguilar Pérez, Marta ^a   Niehaus, Ludwig ^b   Fischer, Sebastian ^a   Schmid, Elisabeth ^a   Bäzner, Hansjörg ^a   Henkes, Hans ^a  

^a KLINIKUM STUTTGART   (Germany)

^b Klinikum Schloss Winnenden   (Germany)

Author keywords

Mechanical thrombectomy; Old age; Predictors of outcome; Stroke

Indexed keywords

AGED; ALBERTA STROKE PROGRAM EARLY CT SCORE; ANTERIOR CIRCULATION THROMBOEMBOLIC VESSEL OCCLUSION; ARTERY DISEASE; ARTICLE; ATRIAL FIBRILLATION; CEREBROVASCULAR ACCIDENT; CLINICAL ASSESSMENT TOOL; CORONARY ARTERY DISEASE; DECISION MAKING; DIABETES MELLITUS; DISABILITY; DISEASE SEVERITY; EMERGENCY CARE; FEMALE; FIBROMUSCULAR DYSPLASIA; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; MECHANICAL THROMBECTOMY; NATIONAL INSTITUTES OF HEALTH STROKE SCALE; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; PERIPHERAL OCCLUSIVE ARTERY DISEASE; PREDICTION; PRIORITY JOURNAL; RANKIN SCALE; RECANALIZATION; SMOKING HABIT; STENT RETRIEVER; SUBARACHNOID HEMORRHAGE; SYMPTOM; THROMBOLYSIS IN CEREBRAL INFARCTION SCORE; TOTALED HEALTH RISK IN VASCULAR EVENT; TREATMENT OUTCOME; VERY ELDERLY;

AGED, 80 AND OVER; CEREBRAL ANGIOGRAPHY; FEMALE; HUMANS; INFARCTION, ANTERIOR CEREBRAL ARTERY; MALE; STENTS; STROKE; THROMBECTOMY; THROMBOLYTIC THERAPY; TREATMENT OUTCOME;

EID: 84890919771     PISSN: 10159770     EISSN: 14219786     Source Type: Journal    
DOI: 10.1159/000356186     Document Type: Article

References (33)

1. Lozano R, Naghavi M, Foreman K, et al: Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2095-2128
2. Murray C, Vos T, Lozano R, et al: Disabilityadjusted life years (DALY) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2197-2223
3. Zurrú M, Orzuza G: Epidemiological aspects of stroke in very old patients. Cardiovasc Hematol Disord Drug Targets 2011; 11: 2-5
4. Russo T, Felzani G, Marini C: Stroke in the very old: A systematic review of studies on incidence, outcome and resource use. J Aging Res 2011; 2011: 108785
5. Statistisches Bundesamt Wiesbaden: Bevölkerung Deutschlands bis 2060: 12. koordinierte Bevölkerungsvorausberechnung. 2009. www.destatis.de (accessed January 30, 2013)
6. IST-3 collaborative group: The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischemic stroke [the third international stroke trial (IST-3)]: A randomized trial. Lancet 2012; 379: 2352-2363
7. Broderick J, Palesch Y, Demchuck A, et al: Endovascular therapy after intravenous t-PA versus t-PA alone for stroke. New Engl J Med 2013; 368: 893-903
8. Davalos A, Mendes Pereira V, Chapot R, et al: Retrospective multicenter study of Solitaire FR for revascularization in the treatment of acute ischemic stroke. Stroke 2013; 43: 2699-2705
9. Hennerici M, Kern R, Szabo K: Non-pharmacological strategies for the treatment of acute ischemic stroke. Lancet Neurol 2013; 12: 572-584
10. Flint A, Cullen S, Faigeles B, Rao V: Predicting long-term outcome after endovascular stroke treatment: the Totaled Health Risks in Vascular Events score. Am J Neuroradiol 2010; 31: 1192-1196
11. Willey J, Stillman J, Rivolta J, et al: Too good to treat? Outcomes in patients not receiving thrombolysis due to mild deficits or rapidly improving symptoms. Int J Stroke 2012; 7: 202-206
12. Rajajee V, Kidwell C, Starkman S, et al: Early MRI and outcomes of untreated patients with mild or improving ischemic stroke. Neurology 2006; 67: 980-984
13. Kurre W, Vorlaender K, Aguilar-Pérez M, Schmid E, Bäzner H, Henkes H: Frequency and relevance of anterior cerebral artery embolism caused by mechanical thrombectomy of middle cerebral artery occlusion. Am J Neuroradiol 2013, DOI: 10.3174/ajnr.A3462
14. Higashida RT, Furlan AJ, Roberts H, et al, Technology Assessment Committee of the American Society of Interventional and Therapeutic Neuroradiology, Technology Assessment Committee of the Society of Interventional Radiology: Trial design and reporting standards for intra-arterial cerebral thrombolysis for acute ischemic stroke. Stroke 2003; 34:e109-e137
15. Hacke W, Kaste M, Fieschi C, et al: Intravenous thrombolysis with recombinant tissue plasminogen activator for acute ischemic stroke. JAMA 1995; 274: 1017-1025
16. Nogueira R, Lutsep H, Gupta R, et al: Trevo versus Merci retrievers for thrombectomy revascularization of large vessel occlusions in acute ischemic stroke (TREVO 2): A randomised trial. Lancet 2012; 380: 1231-1240
17. Saver J, Jahan R, Levy E, et al: Solitaire flow restoration device versus the Merci retriever in patients with acute ischemic stroke (SWIFT): A randomized parallel-group, non-inferiority trial. Lancet 2012; 380: 1241-1249
18. Qureshi A, Suri M, Georgiadis A, et al: Intraarterial recanalization techniques for patients years or older with acute ischemic stroke: pooled analysis from 4 prospective studies. Am J Neuroradiol 2009; 30: 1184-1189
19. Kim D, Ford G, Kidwell C, et al: Intra-arterial thrombolysis for acute stroke in patients 80 and older: A comparison of results in patients younger than 80 years. Am J Neuroradiol 2007; 28: 159-163
20. Chandra R, Leslie-Mazwi T, Oh D, et al: Elderly patients are at higher risk for poor outcomes after intra-arterial therapy. Stroke 2012; 43: 2356-2361
21. Mono M, Romagna L, Jung S, et al: Intra-arterial thrombolysis for acute ischemic stroke in octogenarians. Cerebrovasc Dis 2012;33: 116-122
22. Mazighi M, Labreuche J, Mesenguer E, et al: Impact of a combined intravenous/intra-arterial approach in octogenarians. Cerebrovasc Dis 2011; 31: 559-565
23. Abou-Chebl A, Lin R, Hussain M, et al: Conscious sedation versus general anesthesia during endovascular therapy for acute anterior circulation stroke-preliminary results from a retrospective, multicenter study. Stroke 2010; 41: 1175-1179
24. Jumaa M, Zhang F, Ruiz-Ares G, et al: Comparison of safety and clinical and radiographic outcomes in endovascular acute stroke therapy for proximal middle cerebral artery occlusion with intubation and general anesthesia versus the nonintubated state. Stroke 2010; 41: 1180-1184
25. Avitsian R, Somal J: Anesthetic management for intra-arterial therapy in stroke. Curr Opin Anethesiol 2012; 25: 523-532
26. Goldstein L, Samsa G, Matchar D, et al: Charlson index comorbidity adjustment for ischemic stroke outcome studies. Stroke 2004; 35: 1941-1945
27. Barber P, Demchuk A, Zhang J, et al: Validity and reliability of a quantitative computed tomography score in predicting outcome of hyper acute stroke before thrombolytic therapy-ASPECTS Study Group: Alberta Stroke Program Early CT Score. Lancet 2000; 355: 1670-1674
28. Tei H, Uchiyama S, Usui T, et al: Diffusionweighted ASPECTS as an independent marker for predicting functional outcome. J Neurol 2011; 258: 559-565
29. Barber P, Hill M, Eliasziw M, et al: Imaging of the brain in acute ischemic stroke: comparison of computed tomography and magnetic resonance diffusion-weighted imaging. J Neurol Neurosurg Psychiatrie 2005; 76: 1528-1533
30. Fischer U, Arnold M, Nedeltchev K, et al: NIHSS score and arteriographic findings in acute ischemic stroke. Stroke 2005; 36: 2121-2125
31. Arsava E, Vural A, Akpinar E, et al: The detrimental effect of aging on leptomeningeal collaterals in ischemic stroke. J Stroke Cerebrovasc Dis 2013, E-pub ahead of print
32. Sylaja P, Cote R, Buchan A, et al: Thrombolysis in patients older than 80 years with acute ischemic stroke: Canadian Alteplase for Stroke Effectiveness Study. J Neurol Neurosurg Psychiatry 2006; 77: 826-829
33. Mishra N, Ahmed N, Andersen G, et al: Thrombolysis in very elderly people: controlled comparison of SITS International Stroke Thrombolysis Registry and Virtual International Stroke Trials Archive. BMJ 2010; 341:c6046.