ISC 2024 | Thrombectomy use and outcomes in patients with premorbid disability

Aravind Ganesh, MD, DPhil, from the Cumming School of Medicine, University of Calgary, Canada, presents findings from a national stroke registry in the Czech Republic (2016-2020) evaluating endovascular thrombectomy (EVT) utilization and outcomes in ischemic stroke patients with pre-morbid disability. Pre-morbid disability was defined as a pre-stroke modified Rankin Scale (mRS) score greater than 2. Among 22,405 patients, 7.6% had pre-stroke mRS greater than 2. Patients with pre-morbid disability were less likely to receive EVT (10.1% vs 20.7%), experienced longer door-to-puncture times, worse outcomes, and higher mortality. However, EVT recipients with pre-morbid disability did not differ significantly in key outcomes, and one-third returned to their pre-stroke state. The study highlights challenges and benefits associated with EVT in stroke patients with pre-morbid disability. This interview took place during the International Stroke Conference 2024 in Phoenix, AZ.

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