Abstract
Background
Mechanical thrombectomy for treatment of arterial ischemic stroke (AIS) and cerebral
venous thrombosis (CVT) is well-studied in adult populations, but not in children.
Methods
We report 3 new cases of pediatric stroke treated using mechanical thrombectomy. Two
cases of AIS and 1 case of CVT were identified from 2018 pediatric stroke clinic records.
Results
Thrombectomy was successful in 1 of the 2 AIS cases and in the CVT case. None of the
children were asymptomatic after thrombectomy. One AIS case had good recovery than
developed dystonia which responded to treatment; the second AIS case had residual
hemiplegia; and the child with CVT had mild school problems.
Conclusions
Mechanical thrombectomy is being increasingly used for pediatric stroke treatment.
This study and recent literature reviews suggest thrombectomy holds promise as a treatment
for selected pediatric stroke patients. Questions remain about the safety and efficacy
of thrombectomy in children with stroke since large randomized controlled studies
are not yet feasible.
Key Words
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Article info
Publication history
Published online: December 13, 2019
Accepted:
November 21,
2019
Received in revised form:
November 1,
2019
Received:
July 31,
2019
Footnotes
Funding: None.
The study was approved by the Indiana University Institutional Review Board, Protocol #1011003362 Recovery from childhood stroke.
The abstract for this paper was accepted as a poster presentation for the 2019 Child Neurology Society meeting.
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104551
Copyright
© 2019 Elsevier Inc. All rights reserved.
