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Risk Factors for Postprocedural Arterial Ischemic Stroke in Children With Cardiac Disease.
Henzi, Bettina C; Brotschi, Barbara; Balmer, Christian; Hennig, Bert; Rimensberger, Peter; Perez, Marie-Hélène; Pfammatter, Jean-Pierre; Beghetti, Maurice; Sekarski, Nicole; Datta, Alexandre N; Fluss, Joel; Faignart, Nicole; Hackenberg, Annette; Regényi, Mária; Steinlin, Maja; Hug, Maja I.
Affiliation
  • Henzi BC; Division of Child Neurology, Department of Pediatrics, University Children's Hospital Bern, University of Bern, Switzerland (B.C.H., M.R., M.S.).
  • Brotschi B; Department of Pediatric Neurology and Developmental Medicine, University of Basel, Children's Hospital Basel, Switzerland (B.C.H., A.N.D.).
  • Balmer C; Department of Pediatric and Neonatal Intensive Care, University Children's Hospital Zurich, Switzerland (B.B.).
  • Hennig B; Department of Pediatric Cardiology, University Children's Hospital Zurich, Switzerland (C.B.).
  • Rimensberger P; Division of Pediatric Intensive Care, University Children's Hospital Bern, University of Bern, Switzerland (B.H.).
  • Perez MH; Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics, University Hospital of Geneva, Switzerland (P.R.).
  • Pfammatter JP; Pediatric Intensive Care Unit, Department of Pediatrics, University Hospital of Lausanne, Switzerland (M.-H.P.).
  • Beghetti M; Center for Congenital Heart Disease, Departments of Cardiology and Cardiac Surgery, University Hospital of Bern, Switzerland (J.-P.P.).
  • Sekarski N; Pediatric Cardiology Unit, University Children's Hospital HUG, Pulmonary Hypertension Program HUG, Centre Universitaire Romand de Cardiologie et Chirurgie Cardiaque Pédiatrique (CURCCCP), University of Geneva, Switzerland (M.B.).
  • Datta AN; Pediatric Cardiology Unit, Department of Pediatrics, Centre Universitaire Romand de Cardiologie et Chirurgie Cardiaque Pediatrique (CURCCCP), Lausanne University Hospital, Switzerland (N.S.).
  • Fluss J; Department of Pediatric Neurology and Developmental Medicine, University of Basel, Children's Hospital Basel, Switzerland (B.C.H., A.N.D.).
  • Faignart N; Pediatric Neurology Unit, Geneva Children's Hospital, Switzerland (J.F.).
  • Hackenberg A; Pediatric Neurology, Centre Hospitalier Universitaire Vaudois, Lausanne University Hospital, Switzerland (N.F.).
  • Regényi M; Department of Pediatric Neurology, University Children's Hospital Zurich, Switzerland (A.H.).
  • Steinlin M; Division of Child Neurology, Department of Pediatrics, University Children's Hospital Bern, University of Bern, Switzerland (B.C.H., M.R., M.S.).
  • Hug MI; Division of Child Neurology, Department of Pediatrics, University Children's Hospital Bern, University of Bern, Switzerland (B.C.H., M.R., M.S.).
Stroke ; 51(9): e242-e245, 2020 09.
Article in En | MEDLINE | ID: mdl-32811375
ABSTRACT
BACKGROUND AND

PURPOSE:

Cardiac pathologies are the second most frequent risk factor (RF) in children with arterial ischemic stroke (AIS). This study aimed to analyze RFs for AIS in children with cardiac disease and cardiac intervention.

METHODS:

Data were drawn from the Swiss Neuropediatric Stroke Registry. Patients with cardiac disease and postprocedural AIS registered from 2000 until 2015 were analyzed for the cause of cardiac disease and for potential RFs.

RESULTS:

Forty-seven out of 78 children with cardiac disease had a cardiac intervention. Of these, 36 presented a postprocedural AIS. Median time from cardiac intervention to symptom onset was 4 days (interquartile range, 2-8.5); time to diagnosis of AIS was 2 days (interquartile range, 0-5.8). Main RFs for postprocedural AIS were hypotension, prosthetic cardiac material, right-to-left shunt, arrhythmias, low cardiac output, and infections.

CONCLUSIONS:

In children with postprocedural AIS, time to diagnosis was delayed. Most patients presented multiple potentially modifiable RFs as hemodynamic alterations and infections.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Brain Ischemia / Stroke / Heart Diseases Type of study: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limits: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Country/Region as subject: Europa Language: En Journal: Stroke Year: 2020 Type: Article
Fulltext
Print
XML
PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Brain Ischemia / Stroke / Heart Diseases Type of study: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limits: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Country/Region as subject: Europa Language: En Journal: Stroke Year: 2020 Type: Article