Efficacy and safety of endovascular thrombectomy for ischemic stroke in elderly patients
- 作者: Sapanyuk A.1, Raikhman Y.2, Kuznetsov M.2, Glezer M.1,3,4, Azarov A.1,3,4, Sutormin M.1,4, Ayvazyan G.2, Kuropii T.2
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隶属关系:
- Ministry of Health of the Moscow Region
- Voskresensk Hospital
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
- Moscow Regional Research and Clinical Institute ("MONIKI")
- 期: 卷 35, 编号 6 (2024)
- 页面: 46-48
- 栏目: From Practice
- URL: https://journals.eco-vector.com/0236-3054/article/view/633942
- DOI: https://doi.org/10.29296/25877305-2024-06-08
- ID: 633942
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详细
Endovascular thrombectomy is an effective and safe method for the treatment of ischemic stroke, but this method is poorly studied in elderly patients.
A clinical case of successful endovascular thrombectomy in a patient aged 90 years with ischemic stroke and middle cerebral artery occlusion is presented.
全文:
作者简介
A. Sapanyuk
Ministry of Health of the Moscow Region
编辑信件的主要联系方式.
Email: erho@bk.ru
Candidate of Medical Sciences
俄罗斯联邦, KrasnogorskYu. Raikhman
Voskresensk Hospital
Email: erho@bk.ru
俄罗斯联邦, Moscow Region
M. Kuznetsov
Voskresensk Hospital
Email: erho@bk.ru
ORCID iD: 0009-0004-5184-0517
俄罗斯联邦, Moscow Region
M. Glezer
Ministry of Health of the Moscow Region; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia; Moscow Regional Research and Clinical Institute ("MONIKI")
Email: erho@bk.ru
ORCID iD: 0000-0002-0995-1924
Professor, MD
俄罗斯联邦, Krasnogorsk; Moscow; MoscowA. Azarov
Ministry of Health of the Moscow Region; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia; Moscow Regional Research and Clinical Institute ("MONIKI")
Email: erho@bk.ru
ORCID iD: 0000-0001-7061-337X
Candidate of Medical Sciences
俄罗斯联邦, Krasnogorsk; Moscow; MoscowM. Sutormin
Ministry of Health of the Moscow Region; Moscow Regional Research and Clinical Institute ("MONIKI")
Email: erho@bk.ru
俄罗斯联邦, Krasnogorsk; Moscow
G. Ayvazyan
Voskresensk Hospital
Email: erho@bk.ru
ORCID iD: 0000-0002-3968-6180
俄罗斯联邦, Moscow Region
T. Kuropii
Voskresensk Hospital
Email: erho@bk.ru
ORCID iD: 0000-0001-6916-4845
俄罗斯联邦, Moscow Region
参考
- Benjamin E.J., Blaha M.J., Chiuve S.E. et al. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association [published correction appears in Circulation. 2017; 135 (10): e646] [published correction appears in Circulation. 2017; 136 (10): e196]. Circulation. 2017; 135 (10): e146-e603. doi: 10.1161/CIR.0000000000000485
- Goyal M., Menon B.K., van Zwam W.H. et al. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet. 2016; 387 (10029): 1723–31. doi: 10.1016/S0140-6736(16)00163-X
- Albers G.W., Marks M.P., Kemp S. et al. Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging. N Engl J Med. 2018; 378 (8): 708–18. doi: 10.1056/NEJMoa1713973
- Nogueira R.G., Jadhav A.P., Haussen D.C. et al. Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct. N Engl J Med. 2018; 378 (1): 11–21. doi: 10.1056/NEJMoa1706442
- Marini C., Baldassarre M., Russo T. et al. Burden of first-ever ischemic stroke in the oldest old: evidence from a population-based study. Neurology. 2004; 62: 77–81. doi: 10.1212/01.wnl.0000101461.61501.65
- Mehta A., Fifi J.T., Shoirah H. et al. National Trends in Utilization and Outcome of Endovascular Thrombectomy for Acute Ischemic Stroke in Elderly. J Stroke Cerebrovasc Dis. 2021; 30 (2): 105505. doi: 10.1016/j.jstrokecerebrovasdis.2020.105505
- Turk A.S., Frei D., Fiorella D. et al. ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy. J Neurointerv Surg. 2018; 10 (Suppl 1): i4-i7. doi: 10.1136/neurintsurg-2014-011125.rep
- Hilditch C.A., Nicholson P., Murad M.H. et al. Endovascular Management of Acute Stroke in the Elderly: A Systematic Review and Meta-Analysis. AJNR Am J Neuroradiol. 2018; 39 (5): 887–91. doi: 10.3174/ajnr.A5598
- Zhao W., Ma P., Zhang P. et al. Mechanical Thrombectomy for Acute Ischemic Stroke in Octogenarians: A Systematic Review and Meta-Analysis. Front Neurol. 2020; 10: 1355. doi: 10.3389/fneur.2019.01355
- Jovin T.G., Chamorro A., Cobo E. et al. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med. 2015; 372 (24): 2296–306. doi: 10.1056/NEJMoa1503780
- Fujita K., Tanaka K., Yamagami H. et al. Outcomes of Large Vessel Occlusion Stroke in Patients Aged ≥90 Years [published correction appears in Stroke. 2021; 52 (8): e524]. Stroke. 2021; 52 (5): 1561–9. doi: 10.1161/STROKEAHA.120.031386
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