Case Report: Successful Mechanical Thrombectomy in a Newborn With Basilar Artery Occlusion.

basilar neonatal stroke newborn pediatric stroke thrombectomy

Journal

Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899

Informations de publication

Date de publication:
2021
Historique:
received: 06 10 2021
accepted: 23 12 2021
entrez: 11 3 2022
pubmed: 12 3 2022
medline: 12 3 2022
Statut: epublish

Résumé

Neonatal stroke remains a rare condition that has not yet been assessed in the field of endovascular treatment. We present the first case report of a successful mechanical thrombectomy in a newborn with a basilar occlusion the treatment was 14 hours after birth. Complete reperfusion of the basilar artery was achieved after the two thrombectomy maneuvers with stent retrievers. Imaging follow-up proved patency of the target vessel and at day 30, the patient showed no neurologic deficits. Mechanical thrombectomy appears to be technically feasible and can be an individual option in selected cases to treat stroke in neonates with proven persistent proximal cerebral artery occlusion.

Sections du résumé

Background UNASSIGNED
Neonatal stroke remains a rare condition that has not yet been assessed in the field of endovascular treatment.
Case UNASSIGNED
We present the first case report of a successful mechanical thrombectomy in a newborn with a basilar occlusion the treatment was 14 hours after birth. Complete reperfusion of the basilar artery was achieved after the two thrombectomy maneuvers with stent retrievers. Imaging follow-up proved patency of the target vessel and at day 30, the patient showed no neurologic deficits.
Conclusions UNASSIGNED
Mechanical thrombectomy appears to be technically feasible and can be an individual option in selected cases to treat stroke in neonates with proven persistent proximal cerebral artery occlusion.

Identifiants

pubmed: 35273551
doi: 10.3389/fneur.2021.790486
pmc: PMC8901581
doi:

Types de publication

Case Reports

Langues

eng

Pagination

790486

Informations de copyright

Copyright © 2022 Stracke, Meyer, Schwindt, Ranft and Straeter.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Stroke. 2000 Oct;31(10):2437-41
pubmed: 11022077
Dev Med Child Neurol. 2009 Apr;51(4):324-7
pubmed: 19207294
Pediatrics. 2011 Dec;128(6):e1402-10
pubmed: 22123886
Circulation. 2010 Apr 27;121(16):1838-47
pubmed: 20385928
Pediatr Neurol. 2013 Dec;49(6):458-64
pubmed: 24080274
J Neurosurg Pediatr. 2019 Aug 9;:1-14
pubmed: 31398697
Indian J Pediatr. 2021 Dec;88(12):1257-1258
pubmed: 33415548
Pediatr Neurol. 2017 Apr;69:58-70
pubmed: 28254555
Ann Neurol. 2001 Aug;50(2):163-8
pubmed: 11506398
JAMA. 2019 Jul 16;322(3):252-263
pubmed: 31310296
Childs Nerv Syst. 2017 Feb;33(2):349-355
pubmed: 27704247
Neurol Clin Pract. 2014 Oct;4(5):378-385
pubmed: 25317375
AJNR Am J Neuroradiol. 2017 Dec;38(12):2308-2314
pubmed: 28982789
Lancet Neurol. 2014 Jan;13(1):35-43
pubmed: 24304598
J Neurointerv Surg. 2019 Jun;11(6):554-558
pubmed: 30842305
Ann Neurol. 2018 Jun;83(6):1125-1132
pubmed: 29679441
Eur J Paediatr Neurol. 2019 May;23(3):368-383
pubmed: 30879961
Indian Pediatr. 2020 Sep 15;57(9):862-863
pubmed: 32999120
JAMA Neurol. 2021 Apr 1;78(4):434-444
pubmed: 33616642
JAMA Neurol. 2020 Jan 1;77(1):25-34
pubmed: 31609380

Auteurs

Christian Paul Stracke (CP)

Section of Interventional Neuroradiology, University Hospital Muenster, Muenster, Germany.
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Lukas Meyer (L)

Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Wolfram Schwindt (W)

Section of Interventional Neuroradiology, University Hospital Muenster, Muenster, Germany.

Alexander Ranft (A)

Department of Interventional Radiology and Neuroradiology, Klinikum Hochsauerland, Arnsberg, Germany.

Ronald Straeter (R)

Department of Pediatrics, University Hospital Muenster, Muenster, Germany.

Classifications MeSH