Safety and Efficacy of Mechanical Thrombectomy in 2 Cases of Acute Ischemic Stroke in Centennial Patients

Sweid, Ahmad; Hauge, Julie; Gooch, M. Reid; Jabbour, Pascal; Rosenwasser, Robert H.; Tjoumakaris, Stavropoula

doi:10.1016/j.wneu.2019.04.123

Cited by 2 publications

(2 citation statements)

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“…However, poor outcomes with MT have also been reported in patients >90 years of age [16]. Besides our case, there have been four reports of MT in centenarians (Table 1) [8][9][10][11]. Five of the six patients suffered a cardioembolic stroke, whereas one had an atherothrombotic brain infarction; however, arterial tortuosity rendered the management of two of the six patients difficult.…”

Section: Discussionmentioning

confidence: 52%

“…A study reported that mechanical thrombectomy (MT) does not lead to good outcomes in patients over 80 years of age [6], whereas another stated that MT can improve outcomes in patients over 90 years of age [7]. There are even fewer reports in the literature on centenarians [8][9][10][11]. Herein, we describe the case of a 100-year-old woman who underwent MT and had a good outcome.…”

Section: Introductionmentioning

confidence: 90%

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Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian

Inoue¹,

Oomura²,

Nishikawa³

et al. 2022

Cureus

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Clinical trials have proven the efficacy and beneficial therapeutic outcomes of endovascular therapy in patients with major arterial occlusion. However, its efficacy for very elderly patients, such as nonagenarians or centenarians, is not well established. In this case report, we describe the successful use of mechanical thrombectomy for the management of stroke in a centenarian. The 100-year-old woman with severe rightsided paralysis and total aphasia was admitted to our hospital approximately 30 min from the onset of symptoms. The National Institutes of Health Stroke Scale score was 24 at admission, and three-dimensional computed tomography angiography revealed occlusion in the M1 segment of left middle cerebral artery. She had persistent atrial fibrillation and was diagnosed with colon cancer one month prior to the admission. The modified Rankin Scale score before the stroke was 1, and she was generally independent. The patient successfully underwent mechanical thrombectomy, and recanalization with thrombolysis in cerebral infarction grade 3 was accomplished 129 minutes after the onset. The patient made a remarkable recovery with a National Institutes of Health Stroke Scale score of 4 at 48 h and was discharged home with a modified Rankin Scale score of 2 on day 8. Thus, mechanical thrombectomy can be performed with a good outcome even in centenarians.

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Section: Discussionmentioning

confidence: 52%