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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.
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.
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