University of Florida College of Medicine, Gainesville, Florida, USA.
Department of Neurological Surgery, University of Florida, Gainesville, Florida, USA.
World Neurosurg. 2019 Jun;126:631-637. doi: 10.1016/j.wneu.2019.03.038. Epub 2019 Mar 12.
Endovascular mechanical thrombectomy (MT) performed with stent retriever devices have proven efficacious in the treatment of adult patients with acute cerebral ischemia resulting from large-vessel occlusion. Recently, reports describing the use of MT in pediatric large-vessel occlusion have increased. However, these case reports are generally limited to older children and teenagers.
We report the use of a Solitaire (Medtronic, Minneapolis, Minnesota, USA) stent retriever for thrombectomy and revascularization of the right middle cerebral artery) in a 6-month-old patient.
To our knowledge, this is the youngest patient reported to be treated with MT using a stent retriever. This case adds to the growing literature that supports the use of MT as a stroke intervention in pediatric patients.
支架取栓装置的血管内机械血栓切除术（MT）已被证明对治疗由大血管闭塞引起的成人急性脑缺血有效。最近，描述支架取栓术用于治疗儿科大血管闭塞的病例报告有所增加。然而，这些病例报告通常仅限于年龄较大的儿童和青少年。
我们报告了使用 Solitaire（美敦力，明尼苏达州明尼阿波利斯，美国）支架取栓器对 6 个月大的患者的右侧大脑中动脉进行血栓切除术和血管再通。
据我们所知，这是报道的使用支架取栓器进行 MT 治疗的最小年龄患者。该病例增加了越来越多的文献支持将 MT 作为儿科患者的中风干预措施。
