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Image-Guided Thromboembolectomy of Acute Arterial Occlusion in Children
Song-Yi Kim1, Ahram Han1, Chanjoong Choi1
1Department of Surgery, Seoul National University Hospital, Seoul, Korea.
Insights
Acute arterial thromboembolism in children is rare but treatable. Image-guided thromboembolectomy successfully managed lower extremity blockages in two pediatric patients, resolving symptoms without complications.
Area of Science:
- Pediatric vascular surgery
- Interventional radiology
Background:
- Acute arterial thromboembolism (ATE) is a rare pediatric emergency.
- Prompt intervention is crucial for limb salvage and preventing complications.
Observation:
- Two pediatric cases of lower extremity ATE are presented.
- Case 1: A 34-month-old female with nephrotic syndrome developed bilateral iliac and popliteal occlusions post-steroid therapy.
- Case 2: A 9-year-old female experienced left popliteal artery embolism secondary to infectious endocarditis.
Findings:
- Both patients underwent successful image-guided thromboembolectomy (IGT) using over-the-wire Fogarty catheters.
- Clinical symptoms resolved in both cases following the procedure.
- No significant complications were noted during follow-up.
Implications:
- IGT is an effective treatment modality for pediatric lower extremity ATE.
- This minimally invasive approach offers a viable solution for ATE in children with diverse underlying causes.
- Successful management highlights the importance of timely diagnosis and intervention in pediatric vascular emergencies.
Abstract:
Acute arterial thromboembolism (ATE) is rare in childhood, but this medical emergency requires immediate treatment. Described herein are separate instances of lower extremity ATE in 2 children, both of whom were successfully managed through image-guided thromboembolectomy (IGT). One patient, a 34-month-old female child with nephrotic syndrome, developed bilateral iliac and popliteal thromboembolic arterial occlusions after high-dose steroid therapy. Another 9-year-old girl suffered an embolism of left popliteal artery due to infectious endocarditis. Both patients underwent IGT using over-the-wire Fogarty catheters. During follow-up, presenting symptoms resolved without significant complications.
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