Efficacy and safety of endovascular thrombectomy for ischemic stroke in elderly patients

Мұқаба

Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Тек жазылушылар үшін

Аннотация

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.

Толық мәтін

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Авторлар туралы

A. Sapanyuk

Ministry of Health of the Moscow Region

Хат алмасуға жауапты Автор.
Email: erho@bk.ru

Candidate of Medical Sciences

Ресей, Krasnogorsk

Yu. Raikhman

Voskresensk Hospital

Email: erho@bk.ru
Ресей, Moscow Region

M. Kuznetsov

Voskresensk Hospital

Email: erho@bk.ru
ORCID iD: 0009-0004-5184-0517
Ресей, 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

Ресей, Krasnogorsk; Moscow; Moscow

A. 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

Ресей, Krasnogorsk; Moscow; Moscow

M. Sutormin

Ministry of Health of the Moscow Region; Moscow Regional Research and Clinical Institute ("MONIKI")

Email: erho@bk.ru
Ресей, Krasnogorsk; Moscow

G. Ayvazyan

Voskresensk Hospital

Email: erho@bk.ru
ORCID iD: 0000-0002-3968-6180
Ресей, Moscow Region

T. Kuropii

Voskresensk Hospital

Email: erho@bk.ru
ORCID iD: 0000-0001-6916-4845
Ресей, Moscow Region

Әдебиет тізімі

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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

Қосымша файлдар

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Әрекет
1. JATS XML
2. Fig. 1. Occlusion of the left middle cerebral artery at the level of M1-M2 segment: a – CT angiography of cerebral vessels; б – selective angiography of the left common carotid artery

Жүктеу (129KB)
3. Fig. 2. Endovascular thrombectomy from M1-M2 segments of the left middle cerebral artery: a – mechanical aspiration from the left middle cerebral artery; б – control angiography in the anteroposterior projection; в – control angiography in the lateral projection

Жүктеу (112KB)

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