Association between intracranial arterial stenosis severity and recurrent stroke risk in elderly ischemic stroke patients - Takeaways - MDSpire

Association between intracranial arterial stenosis severity and recurrent stroke risk in elderly ischemic stroke patients

  • By

  • Zhen Tao

  • Hongwei Guo

  • Yingying Liu

  • Jun-Bin Yin

  • Hu Huai Qiang

  • Haowen Lu

  • May 18, 2026

  • 0 min

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  • 1

    Intracranial arterial stenosis (ICAS) significantly increases the risk of recurrent ischemic stroke in older adults.

  • 2

    The study included 527 patients aged 65 and older, with a 12-month recurrent stroke rate of 16.3%.

  • 3

    Recurrent stroke rates were 8.4% for none-to-mild stenosis, 16.8% for moderate stenosis, and 27.9% for severe stenosis.

  • 4

    Severe ICAS was independently associated with a 3.12-fold increased risk of recurrent stroke after adjustments.

  • 5

    Findings support the need for early vascular imaging and risk stratification in elderly ischemic stroke patients.

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