Background: The safety and clinical outcomes of thrombectomy in the 80 years or older age group are not yet clear. Our aim is to provide data from clinical practice to assess the safety and efficacy of endovascular thrombectomy in this age group. Methods: We retrospectively reviewed consecutive patients of age ≥80 referred for thrombectomy procedures at our institutions from 01/01/2015 to 01/09/2015. We collected demographic data, risk factors, clinical and radiological findings, treatment details, clinical and radiological outcomes. Results: Data for 75 patients was included. Baseline clinical characteristics are similar to previous trials. There were MCA occlusions in 49% (37/75) and tandem occlusions in 15% (11/75) patients. 67% (50/75) patients received IVtPA. Good reperfusion (mTICI 2b/3) was achieved in 60% (45/75) patients within 224 minutes. Good clinical outcome (mRS 0-2) at 90 days was achieved in 31% (23/75) patients. Results are similar to HERMES data on patients of age ≥80 and differences will be discussed. Conclusions: Our study adds valuable evidence to the limited data on safety and clinical outcomes in patients 80 years of age and older who undergo thrombectomy. Our findings support the data from clinical trials and confirm that mechanical thrombectomy can be performed safely and in a timely fashion outside of trials with similar results.