Risks and Benefits of Endovascular Thrombectomy in Older Adults

A comparison of outcomes in patients 80 years and older with outcomes in younger patients

Endovascular thrombectomy (EVT) is an established treatment for patients with acute ischemic stroke and large vessel occlusion (LVO), but clinical trials of EVT have included relatively few elderly patients (≥80 years). High rates of comorbidities in older adults have raised concerns about EVT utility in the elderly.

Using data from a national EVT registry in the Netherlands from 2014 to 2016, the authors included 1526 patients (25% elderly) with an anterior circulation LVO who were treated at an approved study center. The primary outcome was a favorable shift on the modified Rankin Scale (mRS), and achieving functional independence (mRS score, 0–2) was the secondary endpoint; follow-up was 90 days. At baseline, the elderly patients were mor…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Risks and Benefits of Endovascular Thrombectomy in Older Adults

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Reviewing Author