Article Text

PDF

E-029 Mechanical Thrombectomy in Pediatric Acute Ischemic Stroke: Clinical Outcomes and Literature Review
  1. T Madaelil1,
  2. A Kansagra1,
  3. C Derdeyn2,
  4. D Cross1,
  5. C Moran1
  1. 1Neuroradiology, Mallinckrodt Institute of Radiology, Saint Louis, MO
  2. 2Neuroradiology, Neurology, Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA

Abstract

There is limited data on outcomes of mechanical thrombectomy for pediatric stroke using modern devices. In this study, we report two cases of pediatric acute ischemic stroke treated with mechanical thrombectomy, both with good angiographic result (TICI 3) and clinical outcome (no neurological deficits at 90 days). In addition, we conducted a literature review of all previously reported cases describing the use of modern thrombectomy devices. Including our two cases, the aggregate rate of partial or complete vessel recanalization was 100% (22/22), and the aggregate rate of favorable clinical outcome was 91% (20/22). This preliminary evidence suggests that mechanical thrombectomy with modern devices may be a safe and effective treatment option in pediatric patients with acute ischemic stroke.

Abstract E-029 Figure 1

Teenage boy status post gunshot wound to left face. (A) Gas in the carotid space (solid arrow) and non-opacification of the right internal carotid artery on neck CTA. (B) Pre-treatment angiogram demonstrates occlusion of the inferior division of the right MCA (dashed arrow). (C, D) Post-thrombectomy angiogram demonstrates TICI 3 flow.

Disclosures T. Madaelil: None. A. Kansagra: None. C. Derdeyn: None. D. Cross: None. C. Moran: 2; C; Medtronic Neurovascular.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.