Phuyal Subash, Alagappan Alamelu, Phuyal Prakash, Sahoo Biswajit, Nayak Manoj Kumar
Neuroimaging and Interventional Neuroradiology, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, NPL.
Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cureus. 2024 Dec 11;16(12):e75563. doi: 10.7759/cureus.75563. eCollection 2024 Dec.
Stroke is one of the major causes of mortality and morbidity, particularly among the elderly population. As the general population ages, cerebrovascular disease is anticipated to increase in prevalence. Strokes can manifest as either hemorrhagic or ischemic events. While mechanical thrombectomy is efficacious in the treatment of major arterial occlusion, many studies have excluded nonagenarians due to anticipated poor functional outcomes. The functional prognosis in nonagenarians is influenced by various factors, including procedural challenges related to vessel tortuosity, collateral circulation status, and multiple medical comorbidities. Herein, we report a case of acute ischemic stroke (AIS) in a nonagenarian male with major arterial occlusion successfully managed via mechanical thrombectomy, resulting in an excellent post-procedural outcome at the three-month follow-up.
中风是导致死亡和发病的主要原因之一，在老年人群中尤为如此。随着总人口老龄化，预计脑血管疾病的患病率将会上升。中风可表现为出血性或缺血性事件。虽然机械取栓术在治疗主要动脉闭塞方面有效，但由于预期功能预后较差，许多研究都将九旬老人排除在外。九旬老人的功能预后受多种因素影响，包括与血管迂曲、侧支循环状态和多种合并症相关的手术挑战。在此，我们报告一例患有主要动脉闭塞的九旬男性急性缺血性中风（AIS）病例，通过机械取栓术成功治疗，在三个月随访时获得了极佳的术后结果。
