Intravenous thrombolysis for acute ischemic stroke in centenarians.
Eur Geriatr Med
; 12(4): 893-897, 2021 08.
Article
em En
| MEDLINE
| ID: mdl-33909269
ABSTRACT
PURPOSE:
The benefit of intravenous alteplase is well established for patients with disabling stroke symptoms regardless of age, although data on outcomes in centenarian patients are scarce. We present our experience in patients beyond 100 years.METHODS:
Descriptive study including centenarians from our single-centre prospective registry who underwent intravenous thrombolysis with alteplase for acute ischemic stroke in our tertiary university hospital. Clinical variables and functional outcome at 3 months were collected.RESULTS:
Four patients, all women, functionally independent (mRS ≤ 2) were included. Treatment with alteplase was applied within 4.5 h of stroke onset. One patient complicated with pneumonia and died. Two patients were functionally independent (mRS ≤ 2) at discharge, while the third was partially dependent (mRS of 3 at discharge), improving after 3 months, (mRS 2). No serious hemorrhagic or systemic adverse events were registered.CONCLUSION:
In our experience, intravenous thrombolysis may be beneficial and should be considered in patients over 100 years old with no previous disability.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Isquemia Encefálica
/
Acidente Vascular Cerebral
/
AVC Isquêmico
Limite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
Eur Geriatr Med
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Espanha