e u r o p e a n j o u r n a l o f p a e d i a t r i c n e u r o l o g y 1 8 ( 2 0 1 4 ) 7 3 0 e7 3 5
Official Journal of the European Paediatric Neurology Society
Original article
Experience of mechanical thrombectomy for paediatric arterial ischaemic stroke Caroline Bodey a,*,c, Tony Goddard b, Tufail Patankar b, Anne Marie Childs b, Colin Ferrie b, Helen McCullagh b, Karen Pysden b a b
Yorkshire Deanery, UK Leeds General Infirmary, University of Leeds, UK
article info
abstract
Article history:
Background: Paediatric arterial ischaemic stroke (AIS) is an important cause of acute
Received 17 April 2014
neurological symptoms in children, it causes significant morbidity and is one of the top ten
Received in revised form
causes of childhood deaths. Consensus papers have suggested guidelines for the man-
25 June 2014
agement of AIS in childhood, although none recommend thrombectomy. Despite this,
Accepted 7 July 2014
children within our institution have undergone mechanical thrombectomy for large vessel occlusion. This is the first series of mechanical thrombectomy and outcomes performed in
Keywords:
children in the UK.
Paediatric stroke
Methods: We describe the endovascular management of paediatric arterial ischaemic stroke
Childhood stroke
(AIS) in four children (5e15 years) with PedNIHSS > 17.
Arterial ischaemic stroke
Results: Three had basilar artery (BA) occlusion and one left middle cerebral artery (MCA)
Thrombectomy
occlusion. All underwent uncomplicated thrombectomy followed by intravenous heparin.
Thrombolysis
One had a successful second attempt. The BA cases underwent thrombectomy 17e36 h
Stroke management
after symptom onset; the left MCA case 85% untreated, and two-thirds have a poor outcome following intervention.7 A recent systematic review of childhood BA stroke found providing the PedNIHSS (Pediatric National Institutes of Health Stroke Scale) score was low (
Official Journal of the European Paediatric Neurology Society
Original article
Experience of mechanical thrombectomy for paediatric arterial ischaemic stroke Caroline Bodey a,*,c, Tony Goddard b, Tufail Patankar b, Anne Marie Childs b, Colin Ferrie b, Helen McCullagh b, Karen Pysden b a b
Yorkshire Deanery, UK Leeds General Infirmary, University of Leeds, UK
article info
abstract
Article history:
Background: Paediatric arterial ischaemic stroke (AIS) is an important cause of acute
Received 17 April 2014
neurological symptoms in children, it causes significant morbidity and is one of the top ten
Received in revised form
causes of childhood deaths. Consensus papers have suggested guidelines for the man-
25 June 2014
agement of AIS in childhood, although none recommend thrombectomy. Despite this,
Accepted 7 July 2014
children within our institution have undergone mechanical thrombectomy for large vessel occlusion. This is the first series of mechanical thrombectomy and outcomes performed in
Keywords:
children in the UK.
Paediatric stroke
Methods: We describe the endovascular management of paediatric arterial ischaemic stroke
Childhood stroke
(AIS) in four children (5e15 years) with PedNIHSS > 17.
Arterial ischaemic stroke
Results: Three had basilar artery (BA) occlusion and one left middle cerebral artery (MCA)
Thrombectomy
occlusion. All underwent uncomplicated thrombectomy followed by intravenous heparin.
Thrombolysis
One had a successful second attempt. The BA cases underwent thrombectomy 17e36 h
Stroke management
after symptom onset; the left MCA case 85% untreated, and two-thirds have a poor outcome following intervention.7 A recent systematic review of childhood BA stroke found providing the PedNIHSS (Pediatric National Institutes of Health Stroke Scale) score was low (
