一名因心房黏液瘤导致栓塞性中风的儿童的动脉内治疗。
Intra-arterial treatment in a child with embolic stroke due to atrial myxoma.
作者信息
van den Wijngaard Ido, Wermer Marieke, van Walderveen Marianne, Wiendels Natalie, Peeters-Scholte Cacha, Lycklama À Nijeholt Geert
机构信息
Department of Radiology, Medical Center Haaglanden; The Hague, The Netherlands - Department of Neurology, Leiden University Medical Center; Leiden, The Netherlands -
Department of Neurology, Leiden University Medical Center; Leiden, The Netherlands.
出版信息
Interv Neuroradiol. 2014 May-Jun;20(3):345-51. doi: 10.15274/INR-2014-10026. Epub 2014 Jun 17.
Arterial ischaemic stroke is an important cause of morbidity in children. Timely diagnosis is necessary for acute stroke treatment but can be challenging in clinical practice. Due to a paucity of data there are no specific recommendations regarding the use of mechanical thrombectomy devices in current paediatric stroke guidelines. A 14-year-old boy presented with a severe acute left hemisphere stroke due to a proximal middle cerebral artery occlusion caused by emboli from an atrial myxoma. No clinical improvement was seen after administration of intravenous thrombolysis. Subsequent mechanical thrombectomy with a second-generation stent-based thrombectomy device resulted in successful recanalization and clinical improvement. To our knowledge, this is the first report of mechanical thrombectomy in a child with acute embolic stroke caused by atrial myxoma.
动脉缺血性卒中是儿童发病的重要原因。及时诊断对于急性卒中治疗至关重要，但在临床实践中可能具有挑战性。由于数据匮乏，目前的儿科卒中指南中没有关于使用机械取栓装置的具体建议。一名14岁男孩因心房黏液瘤的栓子导致大脑中动脉近端闭塞，出现严重的急性左半球卒中。静脉溶栓治疗后未见临床改善。随后使用第二代基于支架的取栓装置进行机械取栓，成功实现再通并改善了临床症状。据我们所知，这是首例关于心房黏液瘤导致的急性栓塞性卒中患儿进行机械取栓的报道。
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