Basilar artery occlusion in a child treated successfully with mechanical thrombectomy using ADAPT

BMJ Case Rep. 2016 Apr 11:2016:bcr2015012195. doi: 10.1136/bcr-2015-012195.

Abstract

Acute ischemic stroke (AIS) in the pediatric population is rare. Furthermore, it is common for physicians to take significantly longer diagnosing a posterior circulation stroke in a child than in an adult. There are increasing case reports in the literature of treating AIS in children with intravenous tissue plasminogen activator, intra-arterial thrombolysis, and/or mechanical thrombectomy. We present the first case of pediatric AIS treated using a direct aspiration first pass technique (ADAPT) as a means of mechanical thrombectomy.

Keywords: Brain; Device; Pediatrics; Thrombectomy.

Publication types

  • Case Reports

MeSH terms

  • Arterial Occlusive Diseases / complications
  • Arterial Occlusive Diseases / drug therapy
  • Arterial Occlusive Diseases / surgery*
  • Basilar Artery / diagnostic imaging
  • Basilar Artery / surgery*
  • Cerebral Angiography
  • Child
  • Combined Modality Therapy
  • Endovascular Procedures
  • Humans
  • Male
  • Stroke / etiology
  • Stroke / surgery*
  • Thrombectomy / methods*
  • Vasodilator Agents / therapeutic use
  • Verapamil / therapeutic use

Substances

  • Vasodilator Agents
  • Verapamil