2University of Health Sciences Bursa City Hospital, Department of Radiology, Bursa, Turkey DOI : 10.29400/tjgeri.2024.402 Introduction: The aging population is one of the main reasons for the increase in stroke cases.The aim of this study was to evaluate the predictors of 3-month outcomes in patients aged ?65 years who underwent mechanical thrombectomy for acute ischemic stroke and compare patients aged 65?79 years with those aged ?80 years in terms of demographic characteristics, workflow, functional outcomes, and complication rates.
Materials and Method: This retrospective cohort study included 169 consecutive patients aged ?65 years who underwent mechanical thrombectomy for acute ischemic stroke due to large vessel occlusion between April 2020 and May 2023.
Results: Recanalization was successful for 148 (87.57%) patients.According to multivariable logistic regression analysis results, low (?9) Alberta Stroke Program Early Computed Tomography score (odds ratio: 4.217, 95% confidence interval: 1.209?14.715, and p=0.024), high National Institutes of Health Stroke Scale score at 24th hour (odds ratio: 1.192, 95% confidence interval: 1.087?1.306, and p<0.001), high Acute Physiology and Chronic Health Evaluation score (odds ratio: 1.127, 95% confidence interval: 1.016?1.250, and p=0.023), and intubation need (odds ratio: 15.055, 95% confidence interval: 2.087?108.612, and p=0.007) were independent predictors of poor outcome.
Conclusion: The lack of significant differences in workflow, functional outcomes, and complications among patients ?80 years of age indicates that MT is effective in this age group. Considering the aging population, identifying the predictors of 3-month outcomes after mechanical thrombectomy will help predict outcomes, better identify elderly patients who may benefit from the procedure, and guide treatment decisions.
Keywords : Aged; Ischemic Stroke; Endovascular Procedures; Thrombectomy