儿童急性 M2 段动脉闭塞性缺血性脑卒中的机械取栓治疗
Mechanical Thrombectomy for Pediatric Arterial Ischemic Stroke from Acute M2 Occlusion.
机构信息
From the Department of Medical Imaging (K.D.B.), Children's Hospital at Westmead, Westmead, New South Wales, Australia
Faculty of Medicine and Health (K.D.B., S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead Clinical School, University of Sydney, New South Wales, Australia.
出版信息
AJNR Am J Neuroradiol. 2024 May 9;45(5):588-591. doi: 10.3174/ajnr.A8182.
Pediatric large-vessel occlusion has a poor natural history. Recent retrospective studies have demonstrated the potential benefits, feasibility, and safety profile of mechanical thrombectomy in children. However, the role of thrombectomy in pediatric M2 occlusions remains uncertain. In this clinical report, we present a multicenter series of 6 pediatric patients with acute M2 occlusion (female = 1, male = 5; age range, 0.9-16.0 years, mean = 9.2). All 6 patients having undergone thrombectomy had excellent clinical outcomes (pediatric mRS = 0-1) at 3 months and final available follow-up (median, 12 months; range, 3-72 months). Factors relevant to treatment decision-making in pediatric M2 occlusions are discussed, including the important role of multidisciplinary team discussions during acute management.
儿科大血管闭塞的自然病史较差。最近的回顾性研究表明，机械取栓术在儿科患者中具有潜在的益处、可行性和安全性。然而，取栓术在儿科 M2 闭塞中的作用仍不确定。在本临床报告中，我们介绍了一项多中心的 6 例急性 M2 闭塞患儿的系列研究（女性=1，男性=5；年龄范围为 0.9-16.0 岁，平均=9.2 岁）。所有接受取栓术的 6 例患儿在 3 个月和最终可获得的随访时（中位数为 12 个月，范围为 3-72 个月）均取得了极好的临床结局（儿科 mRS=0-1）。讨论了与儿科 M2 闭塞治疗决策相关的因素，包括在急性治疗期间多学科团队讨论的重要作用。
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