Journal of Neurology

, Volume 261, Issue 8, pp 1622–1627

Age dependency of safety and outcome of endovascular therapy for acute stroke

Authors

  • Rudolf Luedi
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Kety Hsieh
    • Department of Diagnostic and Interventional NeuroradiologyInselspital, University Hospital Bern and University of Bern
  • Agnieszka Slezak
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
    • Department of Diagnostic and Interventional NeuroradiologyInselspital, University Hospital Bern and University of Bern
  • Marwan El-Koussy
    • Department of Diagnostic and Interventional NeuroradiologyInselspital, University Hospital Bern and University of Bern
  • Urs Fischer
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Mirjam R. Heldner
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Julia Meisterernst
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Marie-Luise Mono
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Christoph Zubler
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Pasquale Mordasini
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Christoph Ozdoba
    • Department of Diagnostic and Interventional NeuroradiologyInselspital, University Hospital Bern and University of Bern
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Gerhard Schroth
    • Department of Diagnostic and Interventional NeuroradiologyInselspital, University Hospital Bern and University of Bern
  • Jan Gralla
    • Department of Diagnostic and Interventional NeuroradiologyInselspital, University Hospital Bern and University of Bern
  • Marcel Arnold
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
  • Simon Jung
    • Department of NeurologyInselspital, University Hospital Bern and University of Bern
    • Department of Diagnostic and Interventional NeuroradiologyInselspital, University Hospital Bern and University of Bern
Original Communication

DOI: 10.1007/s00415-014-7401-0

Cite this article as:
Luedi, R., Hsieh, K., Slezak, A. et al. J Neurol (2014) 261: 1622. doi:10.1007/s00415-014-7401-0

Abstract

Elderly patients generally experience less favorable outcomes and higher mortality after acute stroke than younger patients. The aim of this study was to analyze the influence of age on outcome and safety after endovascular therapy in a large cohort of patients aged between 20 and 90 years. We prospectively acquired data of 1,000 stroke patients treated with endovascular therapy at a single center. Logistic regression analysis was performed to determine predictors of outcome and linear regression analysis to evaluate the association of age and outcome after 3 months. Younger age was an independent predictor of favorable outcome (OR 0.954, p < 0.001) and survival (OR 0.947, p < 0.001) in multivariate regression analysis. There was a linear relationship between age and outcome. Ever increase in 26 years of age was associated with an increase in the modified Rankin Scale of 1 point (p < 0.001). However, increasing age was not a risk factor for symptomatic (p = 0.086) or asymptomatic (p = 0.674) intracerebral hemorrhage and did not influence recanalization success (p = 0.674). Advancing age was associated with a decline of favorable outcomes and survival after endovascular therapy. This decline was linear from age 20 to 90 years, but was not related to lower recanalization rates or higher bleeding risk in the elderly. The efficacy of endovascular stroke therapy seems to be preserved also in the elderly and other factors than efficacy of endovascular therapy such as decreased plasticity are likely to explain the worse outcome with advancing age.

Keywords

Intra-arterial thrombolysisEndovascular therapyOutcomeAge

Copyright information

© Springer-Verlag Berlin Heidelberg 2014