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Updated: Sep 4, 2025

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Favorable outcome of repeat mechanical thrombectomy in a geriatric patient: illustrative case
Ali A Alsarah1, Omar M Hussein1, Andrew P Carlson2
1Departments of Neurology and.
Background:
The authors presented their experience with a case of repeat thrombectomy in a 93-year-old patient who showed a favorable outcome after recurrent large vessel occlusion treated with emergency mechanical thrombectomy.
Observations:
Mechanical thrombectomy has been proven to be effective in treating large vessel occlusion types of ischemic stroke. Most of the patient populations involved in the thrombectomy-related studies were younger than 80 years. In addition, recurrent mechanical thrombectomy is not a common procedure in clinical practice. This unusual case demonstrated the potential to achieve a favorable outcome with thrombectomy even in a patient older than 85 years with recurrent large vessel occlusion.
Lessons:
There can be a favorable neurological outcome after one or repeat thrombectomies for geriatric patients older than 90 years, and age should not be a deterrent to treatment.
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