RT Journal Article
SR Electronic
T1 Mechanical Thrombectomy for Pediatric Arterial Ischemic Stroke from Acute M2 Occlusion
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 588
OP 591
DO 10.3174/ajnr.A8182
VO 45
IS 5
A1 Bhatia, Kartik D.
A1 Pulcine, Elizabeth
A1 Andrews, Ian
A1 Gupta, Sachin
A1 Webster, Richard
A1 Troedson, Christopher
A1 Dale, Russell C.
A1 Lorentzos, Michelle
A1 Parra-Farinas, Carmen
A1 Worthington, John
A1 Tastula, Kylie
A1 Ang, Timothy
A1 Cheung, Andrew
A1 Manning, Nathan
A1 Muthusami, Prakash
YR 2024
UL http://www.ajnr.org/content/45/5/588.abstract
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