Successful Mechanical Thrombectomy in a 2-Year-Old Male Through a 4-French Guide Catheter.
10.5469/neuroint.2014.9.2.94
- Author:
David A STIDD
1
;
Demetrius K LOPES
Author Information
1. Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA. brainaneurysm@mac.com
- Publication Type:Case Report
- Keywords:
Acute ischemic stroke;
Coagulopathy;
Mechanical thrombectomy;
Pediatric acute ischemic stroke;
Stent retriever
- MeSH:
Basal Ganglia;
Catheters*;
Child, Preschool*;
Diffusion;
Hemiplegia;
Humans;
Hypoplastic Left Heart Syndrome;
Infarction;
Magnetic Resonance Imaging;
Male;
Middle Cerebral Artery;
Prothrombin;
Stents;
Thrombectomy*;
Thrombophilia;
Warfarin
- From:Neurointervention
2014;9(2):94-100
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 2-year-old boy with hypoplastic left heart syndrome that required multiple cardiovascular surgeries and a heterozygous prothrombin G20210A mutation with resulting thrombophilia maintained on warfarin presented with acute right middle cerebral artery (MCA) infarction manifesting as a left hemiplegia. An MRI revealed a complete occlusion of the right M1 segment with an area of restricted diffusion in the right basal ganglia representing only a small area of acute infarction. Patchy areas of subacute infarction were also present in the right MCA territory. He underwent endovascular mechanical thrombectomy with a stent retriever. This is an account of a successful mechanical thrombectomy performed in the youngest patient reported in the English literature to date.
