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Mechanical thrombectomy in children and adolescents: report of five cases and literature review

BACKGROUND: Paediatric arterial ischaemic stroke is an important cause of morbidity and mortality among children. Currently, there are no recommendations regarding mechanical thrombectomy in children despite overwhelming evidence of improved outcomes in adults. Therefore, the need for individual cas...

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Autores principales: Bhogal, Pervinder, Hellstern, Victoria, AlMatter, Muhammad, Ganslandt, Oliver, Bäzner, Hansjörg, Aguilar Pérez, Marta, Henkes, Hans
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312071/
https://www.ncbi.nlm.nih.gov/pubmed/30637131
http://dx.doi.org/10.1136/svn-2018-000181
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author Bhogal, Pervinder
Hellstern, Victoria
AlMatter, Muhammad
Ganslandt, Oliver
Bäzner, Hansjörg
Aguilar Pérez, Marta
Henkes, Hans
author_facet Bhogal, Pervinder
Hellstern, Victoria
AlMatter, Muhammad
Ganslandt, Oliver
Bäzner, Hansjörg
Aguilar Pérez, Marta
Henkes, Hans
author_sort Bhogal, Pervinder
collection PubMed
description BACKGROUND: Paediatric arterial ischaemic stroke is an important cause of morbidity and mortality among children. Currently, there are no recommendations regarding mechanical thrombectomy in children despite overwhelming evidence of improved outcomes in adults. Therefore, the need for individual case reports and case series is important to highlight potential advantages and disadvantages in this approach. CASE DESCRIPTIONS: We retrospectively searched our prospectively maintained database of patients undergoing mechanical thrombectomy for ischaemic stroke. We describe five children, aged between 7 and 17, who underwent mechanical thrombectomy for acute ischaemic stroke. We provide an account of their clinical presentations, operative treatment and postoperative outcome. DISCUSSION: Mechanical thrombectomy in children, especially older children, can be performed safely and with existing devices. Although a randomised controlled trial would provide compelling evidence of the potential advantages to this technique, the lack of this should not prevent the use of this procedure by trained neurointerventionists.
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spelling pubmed-63120712019-01-11 Mechanical thrombectomy in children and adolescents: report of five cases and literature review Bhogal, Pervinder Hellstern, Victoria AlMatter, Muhammad Ganslandt, Oliver Bäzner, Hansjörg Aguilar Pérez, Marta Henkes, Hans Stroke Vasc Neurol Original Article BACKGROUND: Paediatric arterial ischaemic stroke is an important cause of morbidity and mortality among children. Currently, there are no recommendations regarding mechanical thrombectomy in children despite overwhelming evidence of improved outcomes in adults. Therefore, the need for individual case reports and case series is important to highlight potential advantages and disadvantages in this approach. CASE DESCRIPTIONS: We retrospectively searched our prospectively maintained database of patients undergoing mechanical thrombectomy for ischaemic stroke. We describe five children, aged between 7 and 17, who underwent mechanical thrombectomy for acute ischaemic stroke. We provide an account of their clinical presentations, operative treatment and postoperative outcome. DISCUSSION: Mechanical thrombectomy in children, especially older children, can be performed safely and with existing devices. Although a randomised controlled trial would provide compelling evidence of the potential advantages to this technique, the lack of this should not prevent the use of this procedure by trained neurointerventionists. BMJ Publishing Group 2018-11-12 /pmc/articles/PMC6312071/ /pubmed/30637131 http://dx.doi.org/10.1136/svn-2018-000181 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Original Article
Bhogal, Pervinder
Hellstern, Victoria
AlMatter, Muhammad
Ganslandt, Oliver
Bäzner, Hansjörg
Aguilar Pérez, Marta
Henkes, Hans
Mechanical thrombectomy in children and adolescents: report of five cases and literature review
title Mechanical thrombectomy in children and adolescents: report of five cases and literature review
title_full Mechanical thrombectomy in children and adolescents: report of five cases and literature review
title_fullStr Mechanical thrombectomy in children and adolescents: report of five cases and literature review
title_full_unstemmed Mechanical thrombectomy in children and adolescents: report of five cases and literature review
title_short Mechanical thrombectomy in children and adolescents: report of five cases and literature review
title_sort mechanical thrombectomy in children and adolescents: report of five cases and literature review
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312071/
https://www.ncbi.nlm.nih.gov/pubmed/30637131
http://dx.doi.org/10.1136/svn-2018-000181
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