Neurointervention.  2014 Sep;9(2):94-100. 10.5469/neuroint.2014.9.2.94.

Successful Mechanical Thrombectomy in a 2-Year-Old Male Through a 4-French Guide Catheter

Affiliations
  • 1Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA. brainaneurysm@mac.com

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.

Keyword

Acute ischemic stroke; Coagulopathy; Mechanical thrombectomy; Pediatric acute ischemic stroke; Stent retriever

MeSH Terms

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
Prothrombin
Warfarin
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