Cohort study reveals higher risks in older ischemic stroke patients undergoing endovascular therapy, suggesting careful decision-making.
Key Points
This research aims to assess the safety of endovascular therapy in patients aged 90 years and older compared to younger patients. It focuses on functional outcomes and complications associated with the procedure.
Multicenter observational study from the EVA-TRISP collaboration
Comparative analysis of outcomes between patients aged ≥90 years and those aged <90 years
Utilized multivariate logistic regression for odds ratios and 95% confidence intervals
Higher odds of poor functional outcome in patients aged ≥90 years (61.6% vs 38.7%)
Increased mortality at 3 months post-stroke in older patients (53.9% vs 21.3%)
Higher rates of unsuccessful recanalization in the very elderly (32.4% vs 27.2%)
No significant difference in symptomatic intracranial hemorrhage rates (5.1% vs 5.0%)