Mechanical Thrombectomy Using Retrievable Stents in Pediatric Acute Ischemic Stroke

Objectives: To report efficacy and outcome of mechanical thrombectomy for treatment ofpediatric acute ischemic stroke with large vessel occlusion using stent retrievers. Methods:Retrospective record review of institutional database for patients <18 years of age. Results:Five boys aged between 6 to 17 years received reperfusion therapy using mechanicalthrombectomy for acute ischemic stroke with large vessel occlusion (2 basilar, 2 middlecerebral and 1 internal carotid artery). Pediatric National Institute of Health Stroke Scale(PedNIHSS) at onset ranged from 12 to 21. Complete recanalization as defined by themodified Treatment In Cerebral Infarction scale (mTICI 3 or 2b) was achieved in all, usingstent retreivers. Favorable outcome as per the modified Rankin scale (mRS 0-1) wasachieved in all with no peri-procedural complications. Conclusions: Mechanicalthrombectomy using retrievable stents is a safe and effective therapy for pediatric ischemicstroke due to large vessel occlusion, and may be offered in carefully selected patients.

Keywords

Dietary diversification, Food fortification, Trace elements, Sustainable developmental goals, Multiple micronutrientpowder.

Citation

Bhatti Amit, Huded Vikram, Vyas Devashish, Mushtaq Mudasir, Kekatpure Minal, Hiremath Sagar, Sapare Anilkumar, Aggarwal Rajiv. Mechanical Thrombectomy Using Retrievable Stents in Pediatric Acute Ischemic Stroke. Indian Pediatrics. 2019 Jul; 56(7): 571-575

URI

https://imsear.searo.who.int/handle/123456789/199341

Collections

Indian Pediatrics

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