BACKGROUND: Although initial studies of neuroendovascular intervention did not review benefit over intravenous thrombolytics (iv r-tPA), recent studies have suggested otherwise. Elderly @entity1 (age >= 80 years) are typically excluded from clinical trials. PURPOSE: To examine the utility of mechanical thrombectomy based on @entity1 outcomes. MATERIAL AND METHODS: All @entity64 -alert activations at our health system from January 2011 to June 2014 were examined. All @entity1 aged >= 80 years who had undergone mechanical thrombectomy were identified. Clinical characteristics included physiologic imaging findings, use of intravenous thrombolytics, baseline and postoperative National Institute of Health @entity64 Scale (NIHSS), thrombolysis in @entity385 scores (TICI), and discharge destination. RESULTS: Mean NIHSS on presentation was 18.2 (range, 6-31), and 13.3 (range, 3-30) post thrombectomy. Three (16.6%) @entity1 received iv r-tPA, two (11.1%) had symptomatic @entity932 . Eight (44.4%) died, eight (44.4%) were discharged to nursing homes, and two (11.7%) were discharged to inpatient rehab and subsequently home. Favorable outcome was achieved in five (27.7%) @entity1 . Fourteen (77.7%) @entity1 had physiologic imaging prior to intervention. Three (75%) of four @entity1 who did not have physiologic imaging prior to thrombectomy died. Thirteen (66.6%) @entity1 had TICI 3 recanalization. CONCLUSION: Our study showed that although there remains a role of mechanical thrombectomy in the treatment of acute @entity385 in very elderly @entity1 , it is associated with significant higher morbidity and mortality compared to younger @entity1 , but should remain a very viable treatment option when quality of life is the most important consideration.

Outcome of mechanical thrombectomy in the very elderly for the treatment of acute XXXX : the real world experience.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke', 'Stroke'] @entity932 :: ('MESH:D020300', 'Disease') :: ['intracranial hemorrhage'] @entity385 :: ('MESH:D002544', 'Disease') :: ['ischemic stroke', 'cerebral infarction']
@entity385 :: (MESH:D002544,Disease) :: ['ischemic stroke']
