PT  - JOURNAL ARTICLE
AU  - Bhatia, Kartik D.
AU  - Pulcine, Elizabeth
AU  - Andrews, Ian
AU  - Gupta, Sachin
AU  - Webster, Richard
AU  - Troedson, Christopher
AU  - Dale, Russell C.
AU  - Lorentzos, Michelle
AU  - Parra-Farinas, Carmen
AU  - Worthington, John
AU  - Tastula, Kylie
AU  - Ang, Timothy
AU  - Cheung, Andrew
AU  - Manning, Nathan
AU  - Muthusami, Prakash
TI  - Mechanical Thrombectomy for Pediatric Arterial Ischemic Stroke from Acute M2 Occlusion
AID  - 10.3174/ajnr.A8182
DP  - 2024 May 01
TA  - American Journal of Neuroradiology
PG  - 588--591
VI  - 45
IP  - 5
4099  - http://www.ajnr.org/content/45/5/588.short
4100  - http://www.ajnr.org/content/45/5/588.full
SO  - Am. J. Neuroradiol.2024 May 01; 45
AB  - SUMMARY: 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.LVOlarge-vessel occlusionMeVOmedium-vessel occlusionmTICImodified treatment in cerebral ischemiaped-mRSpediatric mRSPed-NIHSSpediatric NIHSS