Mechanical Thrombectomy for Pediatric Arterial Ischemic Stroke from Acute M2 Occlusion.

Journal

AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708

Informations de publication

Date de publication:
28 Mar 2024
Historique:
received: 06 10 2023
accepted: 08 01 2024
medline: 29 3 2024
pubmed: 29 3 2024
entrez: 28 3 2024
Statut: aheadofprint

Résumé

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.

Identifiants

DOI: 10.3174/ajnr.A8182 PMID: 38548309
pubmed: 38548309
pii: ajnr.A8182
doi: 10.3174/ajnr.A8182
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 by American Journal of Neuroradiology.

Auteurs

Kartik D Bhatia (KD)

From the Department of Medical Imaging (K.D.B.), Children's Hospital at Westmead, Westmead, New South Wales, Australia Kartik.bhatia@health.nsw.gov.au.
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.
ORCID: 0000-0002-3431-5647

Elizabeth Pulcine (E)

Division of Neurology (E.P.), Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada.
ORCID: 0000-0001-5075-1070

Ian Andrews (I)

Department of Neurology (I.A.), Sydney Children's Hospital, Randwick, New South Wales, Australia.

Sachin Gupta (S)

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.
T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.

Richard Webster (R)

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.
T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.

Christopher Troedson (C)

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.
T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.

Russell C Dale (RC)

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.
T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.

Michelle Lorentzos (M)

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.
T.Y. Nelson Department of Neurology and Neurosurgery (S.G., R.W., C.T., R.C.D., M.L.), Children's Hospital at Westmead, Westmead, New South Wales, Australia.

Carmen Parra-Farinas (C)

Division of Image-Guided Therapy (C.P.F., P.M.), Department of Radiology, Hospital for Sick Children, Toronto, Ontario, Canada.

John Worthington (J)

Department of Neurology (J.W., K.T., T.A.), Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.

Kylie Tastula (K)

Department of Neurology (J.W., K.T., T.A.), Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.

Timothy Ang (T)

Department of Neurology (J.W., K.T., T.A.), Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
ORCID: 0000-0001-8405-0459

Andrew Cheung (A)

Interventional Radiolog (A.C., N.M.), Sydney Children's Hospital, Randwick, New South Wales, Australia.
ORCID: 0000-0003-2815-9198

Nathan Manning (N)

Interventional Radiolog (A.C., N.M.), Sydney Children's Hospital, Randwick, New South Wales, Australia.
ORCID: 0000-0002-9914-6311

Prakash Muthusami (P)

Division of Image-Guided Therapy (C.P.F., P.M.), Department of Radiology, Hospital for Sick Children, Toronto, Ontario, Canada.
ORCID: 0000-0002-7062-9571

Classifications MeSH