The Efficacy of Mechanical Thrombectomy with Acute Ischemic Stroke in Elderly Patients Older Than 80 Years Old

, Su-Ho Kim; , Jeong-Ho Lee; , Min-Seok Lee; , Sang-Jun Suh; , Yoon-Soo Lee; , Dong-Gee Kang

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2016;12(2):212-216.
Published online September 30, 2016.

The Efficacy of Mechanical Thrombectomy with Acute Ischemic Stroke in Elderly Patients Older Than 80 Years Old

Su-Ho Kim , Jeong-Ho Lee , Min-Seok Lee , Sang-Jun Suh , Yoon-Soo Lee , Dong-Gee Kang

Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea

80세 이상 초 고령 환자에서 발생한 뇌경색에서 기계적 혈전 제거술의 효용성에 대한 고찰

김수호·이정호·이민석·서상준·이윤수·강동기

대구 파티마병원 신경외과

Abstract

Objective
The incidence of stroke is increasing in the elderly. Elderly patients have been excluded from the previous studies. The aim of this study was to investigate the efficacy of mechanical thrombectomy (MT) with acute ischemic stroke in elderly patients older than 80 years old.
Methods
11 patients aged more than 80 with acute ischemic stroke were enrolled in this study. They had undergone MT from January 2010 to December 2015 in our hospital. We investigated the National Institute of Health Stroke Scale (NIHSS) at admission, NIHSS after 3 days from MT, NIHSS after 1 month from MT, complications, modified Rankin scale (mRS) and modified Thrombolysis In Cerebral Infarction (mTICI) scores.
Results
There was significant differences in the NIHSS compared to at admission and after 3 days from MT (p=0.008). Spontaneous intracerebral hemorrhage was occurred in 2 patients and brain edema was occurred in 1 patient.
Conclusion
We could find a significant difference of NIHSS between at admission and after 3 days from MT. There is no reason why MT is limited due to age. Considering the general condition of the patients and a sequela after MT is important and then, MT can be a feasible treatment option to elderly patients older than 80 years old.

Key Words: Cerebral infarction, Thrombectomy, Mechanical Thrombolysis, Elderly