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Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian
Clinical trials have proven the efficacy and beneficial therapeutic outcomes of endovascular therapy in patients with major arterial occlusion. However, its efficacy for very elderly patients, such as nonagenarians or centenarians, is not well established. In this case report, we describe the succes...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8920831/ https://www.ncbi.nlm.nih.gov/pubmed/35308732 http://dx.doi.org/10.7759/cureus.22071 |
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author | Inoue, Hiroyasu Oomura, Masahiro Nishikawa, Yusuke Mase, Mitsuhito Matsukawa, Noriyuki |
author_facet | Inoue, Hiroyasu Oomura, Masahiro Nishikawa, Yusuke Mase, Mitsuhito Matsukawa, Noriyuki |
author_sort | Inoue, Hiroyasu |
collection | PubMed |
description | Clinical trials have proven the efficacy and beneficial therapeutic outcomes of endovascular therapy in patients with major arterial occlusion. However, its efficacy for very elderly patients, such as nonagenarians or centenarians, is not well established. In this case report, we describe the successful use of mechanical thrombectomy for the management of stroke in a centenarian. The 100-year-old woman with severe right-sided paralysis and total aphasia was admitted to our hospital approximately 30 min from the onset of symptoms. The National Institutes of Health Stroke Scale score was 24 at admission, and three-dimensional computed tomography angiography revealed occlusion in the M1 segment of left middle cerebral artery. She had persistent atrial fibrillation and was diagnosed with colon cancer one month prior to the admission. The modified Rankin Scale score before the stroke was 1, and she was generally independent. The patient successfully underwent mechanical thrombectomy, and recanalization with thrombolysis in cerebral infarction grade 3 was accomplished 129 minutes after the onset. The patient made a remarkable recovery with a National Institutes of Health Stroke Scale score of 4 at 48 h and was discharged home with a modified Rankin Scale score of 2 on day 8. Thus, mechanical thrombectomy can be performed with a good outcome even in centenarians. |
format | Online Article Text |
id | pubmed-8920831 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-89208312022-03-18 Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian Inoue, Hiroyasu Oomura, Masahiro Nishikawa, Yusuke Mase, Mitsuhito Matsukawa, Noriyuki Cureus Neurology Clinical trials have proven the efficacy and beneficial therapeutic outcomes of endovascular therapy in patients with major arterial occlusion. However, its efficacy for very elderly patients, such as nonagenarians or centenarians, is not well established. In this case report, we describe the successful use of mechanical thrombectomy for the management of stroke in a centenarian. The 100-year-old woman with severe right-sided paralysis and total aphasia was admitted to our hospital approximately 30 min from the onset of symptoms. The National Institutes of Health Stroke Scale score was 24 at admission, and three-dimensional computed tomography angiography revealed occlusion in the M1 segment of left middle cerebral artery. She had persistent atrial fibrillation and was diagnosed with colon cancer one month prior to the admission. The modified Rankin Scale score before the stroke was 1, and she was generally independent. The patient successfully underwent mechanical thrombectomy, and recanalization with thrombolysis in cerebral infarction grade 3 was accomplished 129 minutes after the onset. The patient made a remarkable recovery with a National Institutes of Health Stroke Scale score of 4 at 48 h and was discharged home with a modified Rankin Scale score of 2 on day 8. Thus, mechanical thrombectomy can be performed with a good outcome even in centenarians. Cureus 2022-02-09 /pmc/articles/PMC8920831/ /pubmed/35308732 http://dx.doi.org/10.7759/cureus.22071 Text en Copyright © 2022, Inoue et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurology Inoue, Hiroyasu Oomura, Masahiro Nishikawa, Yusuke Mase, Mitsuhito Matsukawa, Noriyuki Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian |
title | Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian |
title_full | Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian |
title_fullStr | Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian |
title_full_unstemmed | Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian |
title_short | Successful Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion in a Centenarian |
title_sort | successful mechanical thrombectomy for acute middle cerebral artery occlusion in a centenarian |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8920831/ https://www.ncbi.nlm.nih.gov/pubmed/35308732 http://dx.doi.org/10.7759/cureus.22071 |
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