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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Mechanical Thrombectomy Using Retrievable Stents in Pediatric Acute Ischemic Stroke

Amit Bhatti1, Vikram Huded2, Devashish Vyas1

  • 1Department of Neurology, Narayana Institute of Neurosciences, Bengaluru, Karnataka, India.

Indian Pediatrics
|July 24, 2019
PubMed

Insights

Mechanical thrombectomy using stent retrievers is a safe and effective treatment for pediatric acute ischemic stroke caused by large vessel occlusion. This reperfusion therapy achieved complete recanalization and favorable outcomes in all young patients treated.

Area of Science:

  • Neurology
  • Pediatric Stroke
  • Interventional Neurology

Background:

  • Acute ischemic stroke in children, particularly with large vessel occlusion (LVO), presents unique challenges.
  • Effective reperfusion therapies are crucial for improving outcomes in pediatric stroke patients.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of mechanical thrombectomy with stent retrievers in children with acute ischemic stroke and LVO.
  • To assess the safety and effectiveness of this endovascular approach in a pediatric population.

Main Methods:

  • A retrospective review of an institutional database was conducted.
  • Patients under 18 years of age who underwent mechanical thrombectomy for acute ischemic stroke with LVO were included.

Main Results:

  • Five male patients (ages 6-17) with LVO (basilar, middle cerebral, internal carotid arteries) were treated.
  • All patients achieved complete recanalization (modified Treatment in Cerebral Infarction scale 3 or 2b) using stent retrievers.
  • Favorable outcomes (modified Rankin scale 0-1) were observed in all patients, with no peri-procedural complications.

Conclusions:

  • Mechanical thrombectomy with stent retrievers is a safe and effective treatment for pediatric acute ischemic stroke due to LVO.
  • This endovascular therapy can be considered for carefully selected pediatric patients with LVO.
Abstract

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