Abstract | BACKGROUND: The Brain Attack Coalition identified the availability of neuroendovascular procedures as an essential component of a comprehensive stroke center. OBJECTIVE: To provide population-based estimates of neuroendovascular procedures. METHODS: RESULTS: The incidence of carotid endarterectomy (387.6 per 100,000 persons) and carotid stent placement (34.7 per 100,000 persons) peaked at 75-84 years. The incidence of aneurysm embolization also peaked in that population bracket (67.9 per 100,000 persons), yet there was a dramatic reduction in the incidence of surgical aneurysm treatment (3.6 per 100,000 persons) in those aged 75-84 years. There was a prominent reduction in the incidence of all procedures in the population aged ≥85 years, except for intravenous/intra-arterial thrombolytic use in ischemic stroke. The incidence of ischemic stroke increased almost by 50% in the population aged ≥85 years compared to those aged 75-84 years. However, the incidence of endovascular procedures for acute ischemic stroke decreased from 22.8 per 100,000 persons in the population aged 75-84 years to 13.2 per 100,000 persons in the population aged ≥85 years. CONCLUSIONS: A marked disproportion of neuroendovascular procedures performed and disease prevalence was noted in persons aged ≥85 years, an increasing segment of the population according to recent Census.
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Authors | Adnan I Qureshi, Saqib A Chaudhry, Shahram Majidi, Mikayel Grigoryan, Gustavo J Rodriguez, M Fareed K Suri |
Journal | Neuroepidemiology
(Neuroepidemiology)
Vol. 39
Issue 2
Pg. 125-30
( 2012)
ISSN: 1423-0208 [Electronic] Switzerland |
PMID | 22890506
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2012 S. Karger AG, Basel. |
Topics |
- Adult
- Aged
- Aged, 80 and over
- Angioplasty
(statistics & numerical data)
- Brain Ischemia
(epidemiology, therapy)
- Endarterectomy, Carotid
(statistics & numerical data)
- Endovascular Procedures
(statistics & numerical data)
- Female
- Humans
- Incidence
- Intracranial Hemorrhages
(epidemiology, therapy)
- Male
- Middle Aged
- Minnesota
(epidemiology)
- Stents
- Stroke
(epidemiology, therapy)
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