Madaelil Thomas P, Kansagra Akash P, Cross DeWitte T, Moran Christopher J, Derdeyn Colin P
Department of Neuroradiology, Mallinckrodt Institute of Radiology, USA
Department of Neuroradiology, Mallinckrodt Institute of Radiology, USA.
Interv Neuroradiol. 2016 Aug;22(4):426-31. doi: 10.1177/1591019916637342. Epub 2016 Mar 4.
There are limited data on outcomes of mechanical thrombectomy for pediatric stroke using modern devices. In this study, we report two cases of pediatric acute ischemic stroke treated with mechanical thrombectomy, both with good angiographic result (TICI 3) and clinical outcome (no neurological deficits at 90 days). In addition, we conducted a literature review of all previously reported cases describing the use of modern thrombectomy devices. Including our two cases, the aggregate rate of partial or complete vessel recanalization was 100% (22/22), and the aggregate rate of favorable clinical outcome was 91% (20/22). This preliminary evidence suggests that mechanical thrombectomy with modern devices may be a safe and effective treatment option in pediatric patients with acute ischemic stroke.
关于使用现代设备进行小儿卒中机械取栓治疗的预后数据有限。在本研究中，我们报告了两例接受机械取栓治疗的小儿急性缺血性卒中病例，两例均获得了良好的血管造影结果（脑梗死溶栓分级3级）和临床预后（90天时无神经功能缺损）。此外，我们对所有先前报道的描述使用现代取栓设备的病例进行了文献综述。包括我们的两例病例在内，部分或完全血管再通的总发生率为100%（22/22），良好临床预后的总发生率为91%（20/22）。这一初步证据表明，使用现代设备进行机械取栓可能是小儿急性缺血性卒中患者的一种安全有效的治疗选择。
