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Mechanical Thrombectomy for Pediatric Arterial Ischemic Stroke from Acute M2 Occlusion.
Bhatia, Kartik D; Pulcine, Elizabeth; Andrews, Ian; Gupta, Sachin; Webster, Richard; Troedson, Christopher; Dale, Russell C; Lorentzos, Michelle; Parra-Farinas, Carmen; Worthington, John; Tastula, Kylie; Ang, Timothy; Cheung, Andrew; Manning, Nathan; Muthusami, Prakash.
Afiliação
  • Bhatia KD; From the Department of Medical Imaging (K.D.B.), Children's Hospital at Westmead, Westmead, New South Wales, Australia Kartik.bhatia@health.nsw.gov.au.
  • Pulcine E; Faculty of Medicine and Health (K.D.B., S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead Clinical School, University of Sydney, New South Wales, Australia.
  • Andrews I; Division of Neurology (E.P.), Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada.
  • Gupta S; Department of Neurology (I.A.), Sydney Children's Hospital, Randwick, New South Wales, Australia.
  • Webster R; Faculty of Medicine and Health (K.D.B., S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead Clinical School, University of Sydney, New South Wales, Australia.
  • Troedson C; T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.
  • Dale RC; Faculty of Medicine and Health (K.D.B., S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead Clinical School, University of Sydney, New South Wales, Australia.
  • Lorentzos M; T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.
  • Parra-Farinas C; Faculty of Medicine and Health (K.D.B., S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead Clinical School, University of Sydney, New South Wales, Australia.
  • Worthington J; T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.
  • Tastula K; Faculty of Medicine and Health (K.D.B., S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead Clinical School, University of Sydney, New South Wales, Australia.
  • Ang T; T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.
  • Cheung A; Faculty of Medicine and Health (K.D.B., S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead Clinical School, University of Sydney, New South Wales, Australia.
  • Manning N; T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.
  • Muthusami P; Division of Image-Guided Therapy (C.P.F., P.M.), Department of Radiology, Hospital for Sick Children, Toronto, Ontario, Canada.
AJNR Am J Neuroradiol ; 45(5): 588-591, 2024 05 09.
Article em En | MEDLINE | ID: mdl-38548309
ABSTRACT
Pediatric large-vessel occlusion has a poor natural history. Recent retrospective studies have demonstrated the potential benefits, feasibility, and safety profile of mechanical thrombectomy in children. However, the role of thrombectomy in pediatric M2 occlusions remains uncertain. In this clinical report, we present a multicenter series of 6 pediatric patients with acute M2 occlusion (female = 1, male = 5; age range, 0.9-16.0 years, mean = 9.2). All 6 patients having undergone thrombectomy had excellent clinical outcomes (pediatric mRS = 0-1) at 3 months and final available follow-up (median, 12 months; range, 3-72 months). Factors relevant to treatment decision-making in pediatric M2 occlusions are discussed, including the important role of multidisciplinary team discussions during acute management.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Trombectomia / AVC Isquêmico Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Trombectomia / AVC Isquêmico Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article