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Research ArticleInterventionalF
Open Access

Interventional Stroke Therapies in the Elderly: Are We Helping?

N. Zeevi, G.A. Kuchel, N.S. Lee, I. Staff and L.D. McCullough
American Journal of Neuroradiology April 2012, 33 (4) 638-642; DOI: https://doi.org/10.3174/ajnr.A2845
N. Zeevi
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G.A. Kuchel
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N.S. Lee
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I. Staff
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L.D. McCullough
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Article Figures & Data

Tables

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    Table 1:

    Demographics of patients with AIS

    <75 Years of Age≥75 Years of Age
    Patients1190 (53%)1064 (47%)
    Mean age59 ± 1184 ± 6
    Sex
        Male684 (58%)410 (39%)
        Female506 (42%)a654 (61%)a
    LDL96 ± 42b86 ± 37b
    Warfarin use113 (9.5%)a191 (18%)a
    Statin use453 (38%)442 (41%)
    Diabetes383 (32%)a294 (28%)a
    Hypertension848 (71%)a902 (85%)a
    Heart disease410 (34%)a483 (45%)a
    Atrial fibrillation171 (14%)a452 (42%)a
    Arriving to hospital within 8 hours468 (39%)457 (43%)
    NIHSS admission score
        Median4b6b
        IQR2–112–16
    Prestroke mBI
        Median20b19b
        IQR20–2018–20
    • ↵a P < .05, χ2 test.

    • View popup
    Table 2:

    Demographics of patients with AIS undergoing interventional therapies

    <75 Years of Age≥75 Years of Age
    Patients70 (65%)37 (35%)
    Mean age60 ± 1380 ± 4
    Sex
        Male40 (57%)14 (38%)
        Female30 (43%)23 (62%)
    LDL83 ± 37a65 ± 29a
    INR value1.1 ± .251.2 ± .37
    Warfarin use9 (12%)10 (24%)
    Statin use19 (44%)18 (56%)
    Diabetes15 (19%)13 (32%)
    Hypertension51 (65%)a34 (82%)a
    Heart disease29 (37%)20 (49%)
    Atrial fibrillation23 (30%)a21 (51%)a
    Admission NIHSS score
        Median17.518
        IQR12.75–2116–22.5
    Prestroke mBI
        Median20a19a
        IQR20–2019–20
    • ↵a P < .05, χ2 test.

    • View popup
    Table 3:

    Rates of endovascular treatment

    <75 Years of Age≥75 Years of Age
    Total70/1190 (5.9%)a37/1064 (3.5%)a
    Male40/684 (5.8%)14/410 (3.4%)
    Female30/506 (5.9%)23/654 (3.5%)
    Treatment regimen
        IA only18 (26%)8 (22%)
        IV and IA16 (23%)12 (32%)
        IA and device11 (16%)5 (14%)
        Device only21 (30%)12 (32%)
        IV, IA, and device4 (6%)0
    Time to intervention141 ± 92153 ± 87
    Duration of intervention204 ± 69a172 ± 55a
    Recanalization rate68%79%
    • ↵a P < .05, χ2 test.

    • View popup
    Table 4:

    Short- and long-term outcomes in patients with AIS receiving endovascular treatment

    <75 Years of Age (n = 70)≥75 Years of Age (n = 37)
    Decrease in NIHSS score ≥ 470%82%
    Symptomatic ICH9%a24%a
    In-hospital mortality26%a46%a
    mBI ≥ 15 at 3 months51%a28%a
    mBI ≥ 15 at 1 year52%a22%a
    • ↵a P < .05, χ2 test.

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American Journal of Neuroradiology: 33 (4)
American Journal of Neuroradiology
Vol. 33, Issue 4
1 Apr 2012
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Cite this article
N. Zeevi, G.A. Kuchel, N.S. Lee, I. Staff, L.D. McCullough
Interventional Stroke Therapies in the Elderly: Are We Helping?
American Journal of Neuroradiology Apr 2012, 33 (4) 638-642; DOI: 10.3174/ajnr.A2845

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Interventional Stroke Therapies in the Elderly: Are We Helping?
N. Zeevi, G.A. Kuchel, N.S. Lee, I. Staff, L.D. McCullough
American Journal of Neuroradiology Apr 2012, 33 (4) 638-642; DOI: 10.3174/ajnr.A2845
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