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Better outcomes with mechanical thrombectomy in elderly stroke patients

Presented By
Dr Aisha Ali, University of Illinois, IL, USA
Conference
AAN 2022
Doi
https://doi.org/10.55788/c93feb37
Results of a meta-analysis suggest that a favourable outcome is more likely if mechanical thrombectomy is added to best medical management (BMM) in elderly patients with anterior circulation stroke due to large vessel occlusion (aLVO). Compared with BMM alone, adding mechanical thrombectomy did not increase mortality. Mechanical thrombectomy is considered standard treatment for aLVO, but controversy still exists about the risk-benefit ratio and cost-effectiveness of performing this procedure in the elderly. Researchers therefore performed a systematic search to identify randomised trials up to October 2021 comparing treatment of aLVO patients with mechanical thrombectomy or BMM and reporting functional outcome. For this meta-analysis, patients were categorised as either elderly (>70 years) or non-elderly. Outcomes were evaluated based on the modified Rankin Scale score: a score ≤1 was considered excellent, ≤2 good, and ≥5 poor. Dr Aisha Ali (U...


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