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Stents for progressively symptomatic paediatric intracranial arterial dissection
Catherine R G Jay1, Aubrey N Duncan2, Shehanaz K Ellika3
1Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA.
Journal of Neurointerventional Surgery
|June 9, 2021
Summary
Neurovascular stents offer a viable treatment for paediatric stroke caused by intracranial arterial dissection when medical therapy fails. These interventions successfully restored vessel calibre and improved outcomes in two adolescent patients.
Area of Science:
- Neurology
- Vascular Surgery
- Pediatric Medicine
Background:
- Arterial dissection is a rare cause of stroke in children.
- Current treatment primarily involves medical management, with limited data on endovascular options for pediatric intracranial arterial dissection.
Purpose of the Study:
- To report the use of neurovascular stents in two adolescents with symptomatic intracranial arterial dissection.
- To evaluate the safety and efficacy of stenting for this condition when medical therapy is insufficient.
Main Methods:
- Diagnosis was confirmed using vessel wall MRI and digital subtraction angiography.
- Two adolescent patients with progressive ischemic symptoms despite anticoagulation underwent stenting with Neuroform EZ and Atlas stents.
Main Results:
- Both patients achieved a Modified Rankin Scale score of 0 post-procedure.
- Follow-up digital subtraction angiography at 6 months showed restored vessel calibre in both cases.
Conclusions:
- Neurovascular stenting is a potential treatment for pediatric intracranial arterial dissection with progressive symptoms unresponsive to medical management.
- Stent placement can lead to favorable outcomes, including neurological recovery and vessel patency.
