Lena Jonathan, Eskandari Ramin, Infinger Libby, Fargen Kyle M, Spiotta Alejandro, Turk Aquilla, Turner Raymond D, Chaudry Imran
Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.
J Neurointerv Surg. 2017 Jan;9(1):e2. doi: 10.1136/neurintsurg-2015-012195.rep. Epub 2016 Apr 13.
Acute ischemic stroke (AIS) in the pediatric population is rare. Furthermore, it is common for physicians to take significantly longer diagnosing a posterior circulation stroke in a child than in an adult. There are increasing case reports in the literature of treating AIS in children with intravenous tissue plasminogen activator, intra-arterial thrombolysis, and/or mechanical thrombectomy. We present the first case of pediatric AIS treated using a direct aspiration first pass technique (ADAPT) as a means of mechanical thrombectomy.
小儿急性缺血性卒中(AIS)较为罕见。此外,医生诊断儿童后循环卒中的时间通常比诊断成人后循环卒中的时间长得多。文献中关于使用静脉组织纤溶酶原激活剂、动脉内溶栓和/或机械取栓治疗儿童AIS的病例报告越来越多。我们报告首例采用直接抽吸首次通过技术(ADAPT)作为机械取栓手段治疗的小儿AIS病例。